Dr. Thomas A Wilson
M.D. | Pediatric Endocrinology | Male
Dr. Thomas A Wilson, M.D. is a San Luis Obispo, California based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Dr. Thomas A Wilson is
1010 Murray Ave, San Luis Obispo, California - 93405-1806. He can be contacted on phone at
805-546-7692 and fax number 805-546-7932.
Dr. Thomas A Wilson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Thomas A Wilson is
1063454080 which was assigned by NPPES on 12 Jun, 2006 and it was last updated on 19 May, 2020.
Dr. Thomas A Wilson license number is
G30444 for Pediatrics Pediatric Endocrinology (2080P0205X) in California.
Dr. Thomas A Wilson provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Dr. Thomas A Wilson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Endocrinology |
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Provider Name : | Dr. Thomas A Wilson |
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Credential : | M.D. |
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Gender : | Male |
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Business Address:
Dr. Thomas A Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 1010 Murray Ave San Luis Obispo, CA, 93405-1806 United States |
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Phone Number : | 805-546-7692 |
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Fax Number : | 805-546-7932 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1063454080 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 12 Jun, 2006 |
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Last Updated On : | 19 May, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Thomas A Wilson are as mentioned. Primary taxonomy code for Dr. Thomas A Wilson, M.D. is
2080P0205X (Pediatrics Pediatric Endocrinology).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080P0205X | Pediatrics Pediatric Endocrinology | Yes | G30444 | CA |
2080P0205X | Pediatrics Pediatric Endocrinology | No | 151531 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Thomas A Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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4249553 | Other | NY | AETNA |
00725544 | MEDICAID | NY | |
79A002 | Other | NY | EMPIRE BC.BS |
Other Practice Locations:
Practice Address | City, State | Phone Number |
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STONY BROOK UNIVERSITY HOSPITAL, STONY BROOK, NY, 11794-0001 United States | STONY BROOK, NY | 631-444-3429 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | Po Box 16012 San Luis Obispo, CA, 93406-6012 United States |
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Business Location:
Patients can refer following map for directions to
Dr. Thomas A Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.