Dr. Rose Mary Wilson, DPM
Podiatrist, Foot & Ankle Surgery in Plano, TX. Individual provider (NPI-1).
Details
- NPI
- 1962076901
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rose Mary Wilson
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2021
- Certification date
- Nov 24, 2024
- Last updated
- Nov 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 692119 | TX | Yes |
| 207XX0004X | Orthopaedic Surgery, Foot and Ankle Surgery | 692119 | TX |
Practice location
5804 Coit Rd Ste 100Plano, TX 75023-5955
Phone 972-424-3505 · Fax 972-424-0903
Mailing address
5804 Coit Rd Ste 100Plano, TX 75023-5955
Phone 972-424-3505 · Fax 972-424-0903
Other practice locations
Lewisville, TX 75067-3437
Phone 972-424-3505
Irving, TX 75038-2220
Phone 972-424-3505
Desoto, TX 75115-4510
Phone 972-424-3505
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 29 Foot & Ankle Surgery Podiatrist providers in Plano · All 11,027 providers in Plano
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