John W Wilson D O P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E6952 Issued in TX

Legal business name

JOHN W WILSON D O P A

Practice address

2011 N Collins Blvd
609
Richardson, TX 75080-2645

Phone

(972) 889-1194

Fax

(972) 889-1425

NPI assigned

Jun 14, 2008

Organization subpart

Yes

Parent organization

JOHN W WILSON D O P AAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John W Wilson, DONPI 1801854757

Title

Physician

Phone

(972) 889-1194

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JOHN W WILSON DO PA Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

John W Wilson DO PA

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W Wilson, DO

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1801854757
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1215197090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 N COLLINS BLVD",
            "address_2": "609",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802645",
            "telephone_number": "972-889-1194",
            "fax_number": "972-889-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N COLLINS BLVD",
            "address_2": "609",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802645",
            "telephone_number": "972-889-1194",
            "fax_number": "972-889-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W WILSON D O P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN W WILSON D O P A",
        "enumeration_date": "2008-06-14",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-889-1194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E6952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195978501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN W WILSON DO PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caryn Jines
• Jinsong Zhang, MD PHD
• JJ Pearce High School
• Kathryn Graham Jodry, D.D.S.
• John H Harney MD PLLC
• John W. Beaty, PH.D.,P.C.
• Sam John, LPC
• Johnson Medical Associates, P.a.
• Johnson-Hyde Corp
• Alfred R. Johnson, D.O.

• Internal Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.