Jody M Wilson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25350 Issued in OK

Practice address

1401 E Van Buren Ave
McAlester, OK 74501-4245

Phone

(918) 421-8410

Fax

(918) 421-8772

NPI assigned

Feb 23, 2006

Last updated

Nov 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jody.wilson.p1@direct.chhcok.nextgenshare.com
• Direct secure messaging: jody.wilson@fhcso.directbygreenway.com

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.

• Caring Hands Healthcare Centers Inc

  dba Caring Hands Healthcare Centers

  • Federally Qualified Health Center (FQHC)
  • Hartshorne, OK
  • NPI 1346324134
  NPD (past)
• Caring Hands Healthcare Centers Inc

  • Federally Qualified Health Center (FQHC)
  • McAlester, OK
  • NPI 1386253862
  NPD (past)
• Caring Hands Healthcare Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • McAlester, OK
  • NPI 1942435672
  NPD (past)
• McAlester Regional Health Center Authority

  dba McAlester Regional Health Center

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1518933290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E VAN BUREN AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014245",
            "telephone_number": "918-421-8410",
            "fax_number": "918-421-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E VAN BUREN AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014245",
            "telephone_number": "918-421-8410",
            "fax_number": "918-421-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2990 N Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757022149",
            "country_code": "US",
            "telephone_number": "903-593-1892",
            "fax_number": "903-592-3886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JODY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "25350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037735003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mickie Jo Williamson, LPN
• Sue Williamson
• Martha Ann Willmon, R.N.
• Dominic Wilson
• Erica Nichole Wilson
• Justice Dwayne Wilson
• Lindsey Wilson, BHRS
• Michaela Windham
• Amanda Jean Wingo, PT, DPT
• Carol Crystann Wingo

• Pediatrics Physician in McAlester, OK
• Providers in McAlester, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.