AUDREY R. WILSON MD – NPI #1437126661
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

AUDREY WILSON is a radiologist located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1437126661 to AUDREY WILSON on March 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name AUDREY RADOMSKY. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

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 AUDREY WILSON below.

NPI Profile for
AUDREY R. WILSON

NPI Number
1437126661
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AUDREY R. WILSON
Former Name: AUDREY RADOMSKY
Credentials
MD
Primary location
1815 COTTMAN AVE
PHILADELPHIA, PA 19111
Phone: (215) 742-5662 Fax: (215) 742-5663
Mailing address
980 US HIGHWAY 9
SOUTH AMBOY, NJ 08879
Phone: (732) 553-9729 Fax: (732) 553-9730
Updated
Identifiers

Identifiers for AUDREY 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
MEDICAIDPA0009479910015
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
PA MD029434L

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.