JOSEPH AUGUSTUS WILSON MD - NPI 1871080804 - Pediatrics in Louisville, KY

Q: What is Joseph Wilson's NPI number?

The NPI number for Joseph Wilson is 1871080804. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Q: What is Joseph Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Wilson was last updated on May 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Joseph Augustus Wilson Md NPPES

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

JOSEPH AUGUSTUS WILSON MD (NPI 1871080804) is an individual pediatric critical care medicine provider in Louisville, Kentucky, licensed in Nevada (25705) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2018).

NPPES Registry Identity

NPI1871080804

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameJOSEPH AUGUSTUS WILSONCredential: MD

Location Address571 S FLOYD ST STE 412Louisville, KY 40202-3877

Mailing Address571 S Floyd St Ste 412Louisville, KY 40202-3877 · (502) 629-8828

Phone(502) 629-8828

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2018

Enumeration DateApril 16, 2018

Last NPPES UpdateMay 15, 20242 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1871080804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NV · 25705

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

571 S FLOYD ST STE 412, Louisville, KY 40202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Augustus Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608278486

PECOS Enrollment IDI20241230000326

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.