George Samuel Wilson (NPI# 1598853079, PAC ID# 8426158213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598853079 |
| PAC ID by PECOS | 8426158213 |
| Professional Enrollment ID | I20070709000512 |
| Full Name | George Samuel Wilson |
| Address |
1217 E 1650 Bountiful UT 84010-1586 |
| Phone Number | 8018089544 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1217 E 1650, Bountiful, UT 84010-1586 | 8018089544 |
| Street Address |
1217 E 1650 |
| City | BOUNTIFUL |
| State | UT |
| Zip | 84010-1586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy N Pantziris | Psychiatry | 535 E 500, Suite 6, Bountiful, UT 84010-3876 | |
| Ronald K Honey | Occupational Therapy | 2280 S 750, Bountiful, UT 84010-4216 | |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Amanda A Ward | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Mark E Christian | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jason Clark Gubler | Physical Therapy | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| David Cope | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jennifer Crafton | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Sandra M Robinson | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Bountiful, UT 84010-4801 |
| Daniel W Broadbent | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Find all physicians in zip 84010 | |||
| City | BOUNTIFUL |
| Zip Code | 84010 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOUNTIFUL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on George Samuel Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.