Timothy Wilson MD has Urology as his primary medical specialty. Their primary office is: 2121 Santa Monica Blvd in Santa Monica, California.
They're a part of the: Providence Saint Johns Medical Foundation medical group which has around 313 members. You can call their office at 310-829-5511 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Oregon Health Sciences University School Of Medicine and graduated in 1980 (around 44 years of experience). They are listed as doing telehealth appointments.
Timothy Wilson MD
Providence Saint Johns Medical Foundation
2121 Santa Monica Blvd
Santa Monica, California 90404
310-829-5511
Phone: 310-829-5511
Enter a starting address:
Medical School: Oregon Health Sciences University School Of Medicine
Graduation Year: 1980
The Primary Medical Specialty for Timothy Wilson MD is listed as: Urology
Credentials: MD
Additional Credentials:
Approximate Years of Experience: 44
PAC (PECOS ID)#: 6406861707
NPI #: 1912005422
NPI Created On: 09/20/2006
NPI Last Updated Listed as: 09/14/2021
Primary Taxonomy Code: 208800000X
License Number:
G57490
Listed Gender: Male
Forms of insurance accepted by include, but are not limited to:
They are listed as accepting new patients.
Languages spoken by staff include: English.
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $25
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 825841829
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: Oncology
Name of Drug #1: XGEVA
Open Associated Drug #1: 55513-730-01
Payments Total: $3,450
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 809682271
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: ONCOLOGY
Name of Drug #1: LIBTAYO
Open Associated Drug #1: 61755-008-01
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Context of payment:: Marketed Product is a Biological without a NDC code which caused it to fail validation; therefore, it is submitted as a Medical Supply as a workaround to ensure completeness of data submission.
Record ID:: 843066774
Being Disputed:: No
Product Related: Yes
Drug or Biological: Medical Supply
Product Category #1: Extremities & Limb Restoration
Name of Drug #1: STRAVIX
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 848439585
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: ONCOLOGY
Name of Drug #1: KEYTRUDA
Open Associated Drug #1: 0006-3029-02
Drug or Biological: Biological
Product Category #2: ONCOLOGY
Name Of Drug #2:: LYNPARZA
Associated Drug #2: 0310-0657-58
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 821602835
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: ONCOLOGY
Name of Drug #1: PADCEV
Open Associated Drug #1: 51144-020-01
Payments Total: $2,000
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 851409673
Being Disputed:: No
Product Related: Yes
Drug or Biological: Medical Supply
Product Category #1: HUMAN TISSUE PRODUCTS
Name of Drug #1: NEOX
Drug or Biological: Medical Supply
Product Category #2: HUMAN TISSUE PRODUCTS
Name Of Drug #2:: CLARIX
Payments Total: $1,800
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 851409675
Being Disputed:: No
Product Related: Yes
Drug or Biological: Medical Supply
Product Category #1: HUMAN TISSUE PRODUCTS
Name of Drug #1: NEOX
Drug or Biological: Medical Supply
Product Category #2: HUMAN TISSUE PRODUCTS
Name Of Drug #2:: CLARIX
Payments Total: $25
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 851412969
Being Disputed:: No
Product Related: Yes
Drug or Biological: Medical Supply
Product Category #1: HUMAN TISSUE PRODUCTS
Name of Drug #1: NEOX
Drug or Biological: Medical Supply
Product Category #2: HUMAN TISSUE PRODUCTS
Name Of Drug #2:: CLARIX
Payments Total: $21
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 851415503
Being Disputed:: No
Product Related: Yes
Drug or Biological: Medical Supply
Product Category #1: HUMAN TISSUE PRODUCTS
Name of Drug #1: NEOX
Drug or Biological: Medical Supply
Product Category #2: HUMAN TISSUE PRODUCTS
Name Of Drug #2:: CLARIX
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 851415743
Being Disputed:: No
Product Related: Yes
Drug or Biological: Medical Supply
Product Category #1: HUMAN TISSUE PRODUCTS
Name of Drug #1: NEOX
Drug or Biological: Medical Supply
Product Category #2: HUMAN TISSUE PRODUCTS
Name Of Drug #2:: CLARIX
1260 15th St
Santa-monica, CA
Regents Of The University Of California
1260 15th St
Santa-monica, CA
Regents Of The University Of California
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Santa-monica, CA
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