DR. RUSSELL L. WILSON M.D.
NPI 1487636627
Radiology - Diagnostic Radiology in Ames, IA
- Individual
- Male
- Radiology
- Diagnostic Radiology
About RUSSELL WILSON
This page provides the complete NPI Profile along with additional information for Russell Wilson, a provider established in Ames, Iowa with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1487636627 assigned on November 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 23024 (IA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1487636627 Verify this NPI
- Provider Name
- DR. RUSSELL L. WILSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1215 DUFF AVE AMES, IA 50010
- Location Phone
- (515) 239-4456
- Location Fax
- (515) 239-4761
- Mailing Address
- 1215 DUFF AVE AMES, IA 50010
- Mailing Phone
- (515) 239-4456
- Mailing Fax
- (515) 239-4761
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-15-2005
- Last Update Date
- 09-12-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 23024
- License State
- IA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0196311 | MEDICAID (05) | IA | |
| A02021 | MEDICARE UPIN (02) | IA | |
| 19631 | MEDICARE ID-TYPE UNSPECIFIED (04) | IA |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
AMES, IA 50010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487636627, enumerated as an "individual" on November 15, 2005.
The provider is located at 1215 DUFF AVE AMES, IA 50010 and the phone number is (515) 239-4456.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
