FREDERICK MIKE WILSON MD
NPI 1609806173
Internal Medicine in Fulton, MO

Active since July 03, 2006
2613 FAIRWAY DR, FULTON, MO 65251(573) 642-4242 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frederick Mike Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK MIKE WILSON MD (NPI 1609806173) is an individual internal medicine provider in Fulton, Missouri, licensed in Missouri (113229) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1609806173
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFREDERICK MIKE WILSONCredential: MD
Location Address2613 FAIRWAY DRFulton, MO 65251
Mailing AddressPo Box 1027Jefferson City, MO 65102-1027 · (573) 761-7246 · Fax (573) 761-6947
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateFebruary 10, 2015
NPI 1609806173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 113229
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedSpecialistTaxonomy 174400000X · License 113229 (MO)
2613 FAIRWAY DR, Fulton, MO 65251

Other Identifiers 3

Medicaid207326307MO
Medicare UPINH57553
Medicare ID-Type Unspecified934914716MO · Member Id Number

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Specialist
2613 FAIRWAY DR, SUITE D
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR, SUITE C
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Physician Assistant
2613 FAIRWAY DR
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Physician Assistant
2613 FAIRWAY DR, SUITE C
FULTON, MO 65251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Wilson's NPI number?

The NPI number for Frederick Wilson is 1609806173. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Frederick Wilson located?

Frederick Wilson practices at 2613 Fairway Dr, Fulton, MO 65251. The listed phone number is (573) 642-4242.

What is Frederick Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Frederick Wilson was last updated on February 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.