WILSON NEPHROLOGY-INTERNAL MEDICINE PA – NPI #1942293717
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

WILSON NEPHROLOGY-INTERNAL MEDICINE PA is a provider located in WILSON, NC. NPPES has assigned the NPI number 1942293717 to WILSON NEPHROLOGY-INTERNAL MEDICINE PA on August 26, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 WILSON NEPHROLOGY-INTERNAL MEDICINE PA below.

NPI Profile for
WILSON NEPHROLOGY-INTERNAL MEDICINE PA

NPI Number
1942293717
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILSON NEPHROLOGY-INTERNAL MEDICINE PA
Primary location
2503 WOOTEN BLVD
WILSON, NC 27893
Phone: (252) 243-2268 Fax: (252) 243-2917
Mailing address
PO BOX 3127
WILSON, NC 27895-3127
Phone: (252) 243-2268 Fax: (252) 243-2917
Organization Subpart
No
Authorized Official
ANWAR AL-HAIDARY
OWNER/PRESIDENT
Phone: (252) 243-2268
Updated
Identifiers

Identifiers for WILSON NEPHROLOGY-INTERNAL MEDICINE PA

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
OTHERBLUE CROSS BLUE SHIELDNC0140N
MEDICAIDNC890140N
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
207RN0300X
- Internal Medicine / Nephrology (Primary)
NC

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.