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Active NPI 1427168566 Individual Practitioner Male Practitioner

Dr. David James Wilson , DO

Surgery • Tahlequah, OK

Professional Overview & Biography Verified Profile Summary

Dr. David Wilson, DO is a registered healthcare professional specializing in Surgery in Tahlequah, OK. Practice services are available at 100 S BLISS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 S Bliss Ave

Tahlequah, OK 744642512

Telephone 9184583100
Fax 9184583511
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tahlequah, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.4 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Tahlequah, OK (386 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IA 01325

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License AZ 2003

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100174400A (OK)
Medicaid State Provider ID
150600003 (AR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jacob Dickerson , DNAP

Nurse Anesthetist, Certified Registered

NPI 1013659960
Dr. Steven Scott , PharmD

Pharmacist - Pharmacotherapy

NPI 1033122395

Doctor of Pharmacy (Pharm.D.)

Dr. Sylvia Soto , MD

Family Medicine

NPI 1063422814

Doctor of Medicine (M.D.)

Dr. Miranda Knight-Brown , MD

Obstetrics & Gynecology

NPI 1063770212

Doctor of Medicine (M.D.)

Dena Lamons , NP

Nurse Practitioner - Family

NPI 1073062386

Nurse Practitioner

Roy Mattox

Pharmacist

NPI 1083092654

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2011

Registered at 100 S BLISS AVE, TAHLEQUAH, OK 744642512 (Tel: 9184583100)

📍
Updated Business Mailing Address January 25, 2011

Registered at 27 GARY CT, LAKE OZARK, MO 650496716 (Tel: 5733657241)

👤
Provider Name / Credentials Updated January 25, 2011

Recorded as DAVID WILSON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Surgery (License #01325 in IA)

🟢
Initial NPI Registration & Enumeration August 30, 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: 1427168566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: January 25, 2011
Sole Proprietor: No

Mailing Address

27 Gary Ct

Lake Ozark, MO 650496716

Phone: 5733657241

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.