Active NPI
Frank James Wilson Jr., M.D.
- Pulmonary Disease Physician
- Little Rock, AR
National Provider Identifier
1003840414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- C4427
- Practice address
- 4815 W Markham St
Little Rock, AR 72205-3866 - Phone
- (501) 280-4384
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | C4427 | AR | |
| Pulmonary Disease Physician | 207RP1001X | C4427 | AR | Primary |
Addresses
Primary practice location
4815 W Markham St
Little Rock, AR 72205-3866
Mailing address
4815 W Markham St
Slot 61
Little Rock, AR 72205-3866
Phone (501) 280-4384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104603001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4427 | AR | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1003840414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 W MARKHAM ST",
"address_2": "SLOT 61",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053866",
"telephone_number": "501-280-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053866",
"telephone_number": "501-280-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "FRANK",
"middle_name": "JAMES",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "AR",
"license": "C4427",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AR",
"license": "C4427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104603001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.