G R WILSON MD – NPI #1437215340
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

G WILSON is a physician located in DALLAS, OR. NPPES has assigned the NPI number 1437215340 to G WILSON on December 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name GAYLE WILSON. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for G WILSON below.

NPI Profile for
GAYLE R. WILSON

NPI Number
1437215340
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GAYLE R. WILSON
Professional Name: G R WILSON
Credentials
MD
Primary location
289 E ELLENDALE
SUITE 503
DALLAS, OR 97338
Phone: (503) 623-8826 Fax: (503) 623-8739
Mailing address
PO BOX 26
DALLAS, OR 97338
Phone: (503) 623-8826 Fax: (503) 623-8739
Sole Proprietor
No
Updated
Identifiers

Identifiers for G WILSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR004460
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OR MD09317

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.