Matthew Z Wilson, M.D.
Surgery in Lebanon, NH. Individual provider (NPI-1).
NPI number1528293347
StatusActive
Last updated in NPPESJun 26, 2019
Details
- NPI
- 1528293347
- Entity type
- Individual (NPI-1)
- Name
- Matthew Z Wilson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2009
- Last updated
- Jun 26, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - COLORECTAL SURGERY (PROCTOLOGY)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 18380 | NH | Yes |
| 208600000X | Surgery | MT195178 | PA | |
| 208C00000X | Colon & Rectal Surgery | 18380 | NH |
Practice location
One Medical Center DriveLebanon, NH 03756-0001
Phone 603-650-8113
Mailing address
One Medical Center DriveLebanon, NH 03756-0001
Phone 603-650-8113
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