Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William Wilson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1518515444

William Wilson, PHYSICIANASSISTANT is a Physician Assistant in Louisville, Kentucky. Qualified in 2020, 6 years ago. Practices with Diagnostic X-Ray Physicians, PSC, a 36-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2019
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Practice location Address checks out

4001 Dutchmans Ln
Louisville, KY 40207-4714
Phone: (502) 447-8786
Fax: (502) 447-8623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1518515444
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 4, 2019
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Diagnostic X-Ray Physicians, Psc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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