Provider Demographics
NPI:1144205634
Name:HILGER, WESLEY SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:SCOTT
Last Name:HILGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2801 K ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5118
Mailing Address - Country:US
Mailing Address - Phone:916-779-1160
Mailing Address - Fax:916-779-1166
Practice Address - Street 1:2801 K ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5118
Practice Address - Country:US
Practice Address - Phone:916-779-1160
Practice Address - Fax:916-779-1166
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA955292088F0040X
CAA95592207VX0201X
CAA95229207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Yes2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ776635Medicaid
AZP00016077OtherRAILROAD MEDICARE
AZ86080015085259A873OtherTRIWEST
AZ74663Medicare ID - Type Unspecified
H83332Medicare UPIN