Individual provider Active NPI

John Steven Wilson, MD

  • Cardiovascular Disease Physician
  • Meadville, PA
National Provider Identifier
1689639270
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD052384L Issued in PA
Practice address
765 Liberty St Ste 105
Meadville, PA 16335-2567
Phone
(814) 373-2310
Fax
(814) 373-2313
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD052384L PA Primary

Addresses

Primary practice location

765 Liberty St Ste 105
Meadville, PA 16335-2567

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5000

Other practice location 1

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5155

Other practice location 2

406 W Oak St
Titusville, PA 16354-1404
Phone (814) 827-1851

Other practice location 3

406 W Oak St
Titusville, PA 16354-1404
Phone (814) 827-9770

Other identifiers 2

IdentifierTypeStateIssuer
0014676790001MedicaidPA
0764259OtherBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040203000646 PA Practitioner - Cardiovascular Disease (Cardiology) 3173416328 Reassigns benefits to 5 organizations
I20250823000245 WV Practitioner - Interventional Cardiology 3173416328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Pennsylvania State University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

100 Woodlawn Ave
Uniontown, PA 15401-3105
Phone (724) 430-5600

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5155

765 Liberty St
Suite 105
Meadville, PA 16335-2567
Phone (814) 373-2310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD052384LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Dec 1, 2012 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 17, 2025 Accepting new patients
Fayette Physician Network Inc Cardiovascular Disease CurrentSince Jul 16, 2025 Accepting new patients
Titusville Area Hospital CurrentSince May 12, 2019 Accepting new patients
Titusville Area Hospital CurrentSince May 12, 2019 Accepting new patients
Titusville Area Hospital Cardiovascular Disease CurrentSince May 12, 2019 Accepting new patients
Meadville Physician Services Cardiovascular Disease CurrentSince Dec 1, 2012 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 17, 2025 Accepting new patients
Fayette Physician Network Inc CurrentSince Jul 16, 2025 Accepting new patients
Meadville Medical Center Cardiovascular Disease CurrentSince Dec 1, 2012 Accepting new patients
Frazier Hart Inc Cardiovascular Disease Past Accepting new patients
North Hills Passavant Cardiology Associates PC Cardiovascular Disease Past Accepting new patients
Fayette Physician Network Inc Past Accepting new patients
Passavant Professional Associates Cardiovascular Disease Past Accepting new patients
Primary Care Services Past Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

751 Liberty St
Ste G19
Meadville, PA 16335
Phone (814) 333-5405

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

100 Woodlawn Ave
Uniontown, PA 15401
Phone (724) 438-8765

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1689639270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST STE 105",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352567",
            "telephone_number": "814-373-2310",
            "fax_number": "814-373-2313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352559",
            "country_code": "US",
            "telephone_number": "814-333-5155",
            "fax_number": "814-333-5198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541404",
            "country_code": "US",
            "telephone_number": "814-827-1851",
            "fax_number": "814-827-8507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541404",
            "country_code": "US",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD052384L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014676790001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "0764259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.