PAUL R. WILSON MD – NPI #1710084124
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

PAUL WILSON is a physician located in CHAMPAIGN, IL. NPPES has assigned the NPI number 1710084124 to PAUL WILSON on September 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 12 years ago on May 16, 2014. 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 PAUL WILSON below.

NPI Profile for
PAUL R. WILSON

NPI Number
1710084124
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAUL R. WILSON
Credentials
MD
Primary location
1701 W. CURTIS ROAD
ADULT MEDICINE
CHAMPAIGN, IL 61822
Phone: (217) 365-6507 Fax: (217) 365-6380
Mailing address
611 W. PARK ST.
BWPC
URBANA, IL 61801-2500
Phone: (217) 383-6792 Fax: (217) 383-4752
Sole Proprietor
No
Updated
Identifiers

Identifiers for PAUL 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
OTHERDMERCIL0533210001
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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
IL 036080131

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.