Derron Wilson is a Pain Medicine in Carmel, Indiana. Derron Wilson practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Derron Wilson is 1780669267. The last update date is 2021-02-22.
Derron Wilson's current location address is 13345 Illinois St, Carmel, Indiana. You can contact this provider via phone number 3173961300 and fax number 3178702728. The mailing address for Derron Wilson is 13345 Illinois St, Carmel, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derron Wilson |
|---|---|
| Address | 13345 Illinois St, Carmel, Indiana |
| Phone Number | 3173961300 |
| Fax Number | 3178702728 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780669267 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2021-02-22 |
Provider Mailing Address Detail
| Address | 13345 Illinois St |
|---|---|
| City | Carmel |
| State | Indiana (IN) |
| Post Code | 460323318 |
| Phone Number | 3173961300 |
| Fax Number | 3178702728 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | 01047150A |
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Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200313770B | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Derron Wilson by the Centers for Medicare & Medicaid Services?
The Derron Wilson has been assigned the NPI (National Provider Identifier) 1780669267 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Derron Wilson is physically located?
The Derron Wilson is situated at the following address: 13345 Illinois St, Carmel, IN 460323318.
What is the area of specialization for Derron Wilson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Derron Wilson is Pain Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Lp2900X.
When was the Derron Wilson's 1780669267 issued?
The Derron Wilson's 1780669267 was issued on 2005-12-07.
When was the information pertaining to Derron Wilson most recently updated or revised?
The details related to Derron Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-22.
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