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DR. WILSON NICOLAS OTERO M.D. NPI 1992925051


NPI Information

NPI: 1992925051
Provider Name: DR. WILSON NICOLAS OTERO, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

PECOS Registration: Yes

Address:
9149 ESTATE THOMAS
PARAGON MEDICAL BUILDING SUITE 208
ST. THOMAS, VI
ZIP 00802
Phone: (340) 714-1122
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DR. Wilson Nicolas Otero, M.D. is a gastroenterology internal medicine in St. Thomas, VI with 47 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Wilson Nicolas Otero, M.D. NPI is 1992925051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

9149 ESTATE THOMAS
PARAGON MEDICAL BUILDING SUITE 208
ST. THOMAS, VI
ZIP 00802-615
Phone: (340) 714-1122

The NPI 1992925051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2007 and was last updated on 3/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist44063ARIZONANo
2207RG0100XInternal MedicineGastroenterology3572VIRGIN ISLANDSNo
3207RG0100XInternal MedicineGastroenterology44063ARIZONANo
4207RG0100XInternal MedicineGastroenterologyMD00030353WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11025558OTHERFLORIDACAREPLUS PROVIDER ID #
24073765OTHERFLORIDAAETNA NETWORK ID NUMBER
3020549565OTHERFLORIDAHUMANA HTLH INS ID #
428885OTHERFLORIDASTAYWELL HLTH PLANS ID #
528885OTHERFLORIDAWELLCARE PROVIDER ID #
696681OTHERFLORIDABLUE CROSS BLUE SHIELD FL
7040931600MEDICAIDFLORIDA
828885OTHERFLORIDAHEALTHEASE HLTH PLANS ID#
9582847MEDICAIDARIZONA
1033648OTHERFLORIDANEIGHBORHOOD HTLH PLAN ID
11020549565OTHERFLORIDAUNITED HTLHCARE ID #
12020549565OTHERFLORIDACIGNA PPO ID NUMBER
13237645OTHERFLORIDAAVMED PROVIDER ID #
14104531OTHERFLORIDAMEMORIAL MANAGED CARE ID
1559257OTHERFLORIDAVISTA HEALTH PLAN ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.