Individual provider Active NPI

Joseph Nathan Wilson, M.D.

  • Specialist
  • Lubbock, TX
National Provider Identifier
1306840947
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H7849 Issued in TX
Practice address
301 Utica Ave
Lubbock, TX 79416-3111
Phone
(806) 797-4985
Fax
(806) 792-8588
NPI assigned
Jun 10, 2005
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H7849 TX Primary

Addresses

Primary practice location

301 Utica Ave
Lubbock, TX 79416-3111

Mailing address

301 Utica Ave
Lubbock, TX 79416-3111
Phone (806) 797-4985

Other identifiers 1

IdentifierTypeStateIssuer
126414505MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050521000102 TX Practitioner - Orthopedic Surgery 4082655832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H7849TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Surgery L.L.P. CurrentSince Oct 15, 1990 Accepting new patients
Jason a Ramsey Mdpa Sportszone Orthopedics CurrentSince Jan 4, 2026 Accepting new patients

Locations

301 Utica Ave
Lubbock, TX 79416
Phone (806) 797-4985

4642 N Loop 289
Ste 101
Lubbock, TX 79416
Phone (806) 797-4985

Interoperability endpoints

  • Direct secure messaging: nawilson@yourcarecommunity.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1306840947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UTICA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163111",
            "telephone_number": "806-797-4985",
            "fax_number": "806-792-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UTICA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163111",
            "telephone_number": "806-797-4985",
            "fax_number": "806-792-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSEPH",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126414505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.