FREDERICK M. WILSON MD – NPI #1609806173
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

FREDERICK WILSON is a physician located in FULTON, MO. NPPES has assigned the NPI number 1609806173 to FREDERICK WILSON on July 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 11 years ago on Feb 10, 2015. 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 FREDERICK WILSON below.

NPI Profile for
FREDERICK M. WILSON

NPI Number
1609806173
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FREDERICK M. WILSON
Credentials
MD
Primary location
2613 FAIRWAY DR
FULTON, MO 65251
Phone: (573) 642-4242 Fax:
Mailing address
PO BOX 1027
JEFFERSON CITY, MO 65102-1027
Phone: (573) 761-7246 Fax: (573) 761-6947
Sole Proprietor
No
Updated
Identifiers

Identifiers for FREDERICK 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
MEDICAIDMO207326307
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
207R00000X
- Internal Medicine (Primary)
MO 113229
174400000X
- Specialist
MO 113229

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.