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Deactivated NPI 1871509141 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Gaines Wilson , MD

Dermatology • Anthem, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2006
NPI Deactivation Date December 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Wilson, MD was a registered Dermatology practicing in Anthem, AZ. Throughout an active medical career spanning 13 years, Dr. Wilson provided care at the practice location at 3618 ANTHEM WAY STE D120 until profile deactivation on 2019-12-09.

Practice Location & Contact Primary Location

Practice Address

3618 Anthem Way Ste D120
Northern Arizona Va Hcs

Anthem, AZ 85086

Telephone 6235516092
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Anthem, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Anthem, AZ (369 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ 33518

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Patrick Rost , MD

Family Medicine - Adult Medicine

NPI 1467472076

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 09, 2019

Record deactivated on December 09, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3618 ANTHEM WAY STE D120, NORTHERN ARIZONA VA HCS, ANTHEM, AZ 85086 (Tel: 6235516092)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 3524, CAREFREE, AZ 853773524 (Tel: 4804883149)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT WILSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #33518 in AZ)

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Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871509141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 08, 2007
Deactivation Date: December 09, 2019

Mailing Address

Po Box 3524

Carefree, AZ 853773524

Phone: 4804883149

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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