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CODY R WILSON D.O.
NPI 1619202108
Pediatrics in North Logan, UT

Active since October 16, 2009
2380 N 400 E STE C, NORTH LOGAN, UT 84341(435) 753-7337(435) 750-6779 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cody R Wilson D.o. NPPES

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

CODY R WILSON D.O. (NPI 1619202108) is an individual pediatrics provider in North Logan, Utah, licensed in Utah (8849510-1204) and active in the NPI registry since October 2009. He maintains a secondary practice location in Klamath Falls.

NPPES Registry Identity

NPI1619202108
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCODY R WILSONCredential: D.O.
Location Address2380 N 400 E STE CNorth Logan, UT 84341-1756
Mailing Address2380 N 400 E Ste CNorth Logan, UT 84341-1756 · (435) 753-7337 · Fax (435) 750-6779
Phone(435) 753-7337
Fax(435) 750-6779
Sole ProprietorNo
Enumeration DateOctober 16, 2009
Last NPPES UpdateOctober 2, 2019
✔ NPI 1619202108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in UT · 8849510-1204✔ Licensed in NE · 6025
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2380 N 400 E STE C, North Logan, UT 84341
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Secondary Practice Location 1

Location 13001 Daggett AveKlamath Falls, OR 97601-1114 · Phone (541) 851-4800 · Fax (541) 851-4801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Other Providers at the Same Location NPPES

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

PAIGE DIANE BARNARD APRN
Nurse Practitioner (Psychiatric/Mental Health)
2380 N 400 E STE C
LOGAN, UT 84341
Cache County (435) 753-1600

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 Cody Wilson's NPI number?

The NPI number for Cody Wilson is 1619202108. It was assigned to this individual provider in the NPPES registry on October 16, 2009.

Where is Cody Wilson located?

Cody Wilson practices at 2380 N 400 E Ste C, North Logan, UT 84341. The listed phone number is (435) 753-7337.

What is Cody Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Cody Wilson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Cody Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cody Wilson was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.