ROBERT H. WILSON, MD
NPI 1851561682
Specialist in University Place, WA

Active since March 07, 2008
4401 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466(253) 564-4157(253) 564-4813 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert H. Wilson, Md NPPES

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

ROBERT H. WILSON, MD (NPI 1851561682) is a healthcare organization registered as a specialist in University Place, Washington and active in the NPI registry since March 2008. The organization lists Jonathan Kaboos, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1851561682
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROBERT HARRISON WILSON MD
Location Address4401 BRIDGEPORT WAY WUniversity Place, WA 98466-4201
Mailing Address4401 Bridgeport Way WUniversity Place, WA 98466-4201 · (253) 564-4157 · Fax (253) 564-4813
Fax(253) 564-4813
Organization SubpartNo
Authorized OfficialJonathan KaboosOffice Manager · (253) 564-4157
Enumeration DateMarch 7, 2008
Last NPPES UpdateApril 4, 2016
NPI 1851561682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MD00014627
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4401 BRIDGEPORT WAY W, University Place, WA 98466

Other Names 1

Other NameRobert H. Wilson, Md

Other Identifiers 3

Medicaid1214600WA
Medicare PINGAB10083WA
Medicare UPINGAB10084WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

Family Medicine
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W, ATTN CREDENTIALING
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Family Medicine
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Family Medicine
4401 BRIDGEPORT WAY W, SUITE 100
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
General Practice
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466

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 Robert Harrison Wilson MD's NPI number?

The NPI number for Robert Harrison Wilson MD is 1851561682. It was assigned to this organization in the NPPES registry on March 7, 2008. The provider is also known as Robert H. Wilson, MD.

Where is Robert Harrison Wilson MD located?

Robert Harrison Wilson MD is located at 4401 Bridgeport Way W, University Place, WA 98466. The listed phone number is (253) 564-4157.

What is Robert Harrison Wilson MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert Harrison Wilson MD was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.