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G SAM WILSON MD PC
NPI 1962521120
Specialist in Bountiful, UT

Active since March 28, 2007
440 MEDICAL DR, BOUNTIFUL, UT 84010(801) 298-9100(801) 298-2238 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About G Sam Wilson Md Pc NPPES

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

G SAM WILSON MD PC (NPI 1962521120) is a healthcare organization registered as a specialist in Bountiful, Utah and active in the NPI registry since March 2007. The organization lists G. Sam Wilson, Provider, as its authorized official.

NPPES Registry Identity

NPI1962521120
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameG SAM WILSON MD PC
Location Address440 MEDICAL DRBountiful, UT 84010-4950
Mailing Address440 Medical DrBountiful, UT 84010-4950 · (801) 298-9100 · Fax (801) 298-2238
Phone(801) 298-9100
Fax(801) 298-2238
Organization SubpartNo
Authorized OfficialG. Sam WilsonProvider · (801) 298-9100
Enumeration DateMarch 28, 2007
Last NPPES UpdateNovember 19, 2007
✔ NPI 1962521120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in UT · 1754341205
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.
440 MEDICAL DR, Bountiful, UT 84010
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Other Identifiers 2

Medicare UPINE04590UT
Medicaid5287442330001UT

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 5

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

DAVID ELDEN SCHOW P.A.-C
Physician Assistant (Medical)
440 MEDICAL DR
BOUNTIFUL, UT 84010
Davis County (801) 298-9100
DR. JON C OBERG M.D.
Surgery
440 MEDICAL DR
BOUNTIFUL, UT 84010
Davis County (801) 499-0247
DAVIS COUNTY GENERAL SURGERY, P.L.L.C
Surgery
440 MEDICAL DR
BOUNTIFUL, UT 84010
Davis County (801) 499-0247
SCOTT ERICKSON
Family Medicine
440 MEDICAL DR, SUITE 4
BOUNTIFUL, UT 84010
Davis County (807) 294-8288
WASATCH FOOT AND ANKLE SPECIALISTS, LLC
Podiatrist (Foot & Ankle Surgery)
440 MEDICAL DR, SUITE #2
BOUNTIFUL, UT 84010
Davis County (801) 298-1160

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 G Sam Wilson MD PC's NPI number?

The NPI number for G Sam Wilson MD PC is 1962521120. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is G Sam Wilson MD PC located?

G Sam Wilson MD PC is located at 440 Medical Dr, Bountiful, UT 84010. The listed phone number is (801) 298-9100.

What is G Sam Wilson MD PC'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 G Sam Wilson MD PC was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.