Jill Mallory Fadal Wilson, MD
Jill Mallory Fadal Wilson, MD practises Diagnostic Radiology in Park City, Utah. Graduated from Texas Tech University Health Science Center School of Medicine in 2015, 11 years ago. Practices with Fort Collins Radiologic Associates PC, a 65-clinician group and accepts Medicare assignment. Licensed in Colorado, Nebraska, Utah and Wyoming.
- Years since qualifying
- 11
- Trained at
- Texas Tech University Health Science Center School of Medicine
- Licensed in
- CO, NE, UT, WY
- In the registry since
- 2015
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1389 Center Dr Ste 200Park City, UT 84098-7660
Phone: (970) 484-4757
Fax: (970) 484-4759
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 10964555-1205 (UT) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 15751A (WY) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence DR.0070579 (CO) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 35561 (NE) |
Record details
| NPI number | 1275928897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 31, 2015 |
| Last updated in NPPES | March 4, 2024 |
| Certification date | March 4, 2024 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Fort Collins Radiologic Associates Pc — 65 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 2,249 |
|---|---|
| Services billed | 3,763 |
| Average patient age | 76 |
Practises at
- Ivinson Memorial Hospital Hospital · Laramie, WY
- Longs Peak Hospital Hospital · Longmont, CO
- Medical Center Of The Rockies Hospital · Loveland, CO
- Uchealth Greeley Hospital Hospital · Greeley, CO
- Poudre Valley Hospital Hospital · Fort Collins, CO
Colleagues at Fort Collins Radiologic Associates PC
- Mr. Scott David Boruchov, MD Diagnostic Radiology Physician · Glassboro, NJ
- Heather Cleveland, PA-C Surgical Physician Assistant · Fort Collins, CO
- Dr. Timothy Dean Duncan, MD Diagnostic Radiology Physician · Fort Collins, CO
- Julie S Edmiston, PAC Physician Assistant · Fort Collins, CO
- Derek Lee Fimmen, MD Diagnostic Radiology Physician · Fort Collins, CO
- Mrs. Kaitlin Mitsuko Ford, MD Diagnostic Radiology Physician · Fort Collins, CO
- Mrs. Kristin J. Hansen, PA-C Physician Assistant · Fort Collins, CO
- Dr. Joseph Michael Mack, MD Diagnostic Radiology Physician · Fort Collins, CO
- Dr. Steven Harry Peck, MD Vascular & Interventional Radiology Physician · Fort Collins, CO
- Dr. David H Rice, MD Diagnostic Radiology Physician · Fort Collins, CO
- Dr. Alison Dawn Sheridan Nath, MD Diagnostic Radiology Physician · Fort Collins, CO
- Alexis Walton, PA-C Physician Assistant · Fort Collins, CO
Other providers in Park City
-
John Manuel Arias, MD
9010 Saddleback Rd, Park City, UT 84098-4740 · (952) 595-1100
-
William Randall Compton, MD
2531 Aspen Springs Dr, Park City, UT 84060-7537 · (435) 615-9307
-
Park City Imaging, Inc
1850 Sidewinder Dr #410, Park City, UT 84060-7471 · (435) 615-0250
-
US Radiology Partners of Texas Inc
8911 N Sackett Dr, Park City, UT 75063 · (435) 649-4765