JON DANIEL WILSON (NPI# 1407816218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407816218 |
| Entity Type | Individual |
| Full Name | JON DANIEL WILSON |
| Credential | MD |
| Practice Address |
10810 Executive Center Dr Ste 100 Little Rock AR 72211-4386 |
| Practice Telephone | 5016042695 |
| Practice Fax Number | 5016042699 |
| Mailing Telephone | 5016042695 |
| Mailing Fax Number | 5016042699 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2015-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301076903 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4244846 | 05 | |
| MI | BCBSM | 220F362370 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936282 | Jon Randolph Wilson | Acupuncturist | 3844b Keanu St, Honolulu, HI 96816-4263 | 2019-08-01 |
| 1407270499 | Jon Wilson | Speech-Language Pathologist | 1530 Hedington Cir, Lawrenceville, GA 30045-3718 | 2014-02-11 |
| 1871835843 | Jon Joseph Wilson | Pharmacist | 117 W Webster St, Cuba City, WI 53807-1100 | 2013-03-18 |
| 1417111329 | Jon Michael Wilson | Audiologist | 7375 W 52nd Ave Ste 310, Arvada, CO 80002-3748 | 2008-07-10 |
| 1023133030 | Jon Jeffrey Wilson | Family Medicine | 871 S Dade 201, Everton, MO 65646-7120 | 2007-03-20 |
| 1104970862 | Jon M Wilson Jr. | Podiatrist | 615 N Zaragoza Rd, El Paso, TX 79907-4773 | 2007-01-22 |
| 1447299219 | Jon David Wilson | Chiropractor | 10850 Lowell Ave, Overland Park, KS 66210-1613 | 2006-06-06 |
| 1811529183 | Jon Kevin Wilson | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-02-05 |
| 1801435672 | Jon D. Wilson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2019-12-27 |
| 1285885483 | Jon Darren Wilson | Physician Assistant | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2008-10-06 |
| Street Address |
10810 EXECUTIVE CENTER DR STE 100 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-4386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891214235 | Zeljko Dvanajscak | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211 | 2017-09-18 |
| 1093242604 | Clarissa A Cassol | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | 2017-05-12 |
| 1174925382 | Ell Pathology Lab, LLC | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | 2014-09-18 |
| 1063821940 | Md Shahrier Amin | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | 2014-08-05 |
| 1770903056 | Tiffany Caza | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211 | 2014-04-24 |
| 1619218393 | Nephropath Laboratories, LLC | Clinical Medical Laboratory | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | 2013-03-06 |
| 1699084145 | Alejandro Best Rocha | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | 2010-10-01 |
| 1760624936 | Daniel James Kenan | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | 2009-04-02 |
| 1053592824 | Fred George Silva II | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | 2007-11-20 |
| 1487854923 | Shree Gopal Sharma | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640564 | Aaron Wyble | Pathology | 4301 W Markham St # 503, Little Rock, AR 72205 | 2014-05-08 |
| 1336486430 | William Edward Atkinson Jr. | Pathology | 22 Old Delmonte Drive, Little Rock, AR 72212 | 2013-01-09 |
| 1871870782 | Alex Pappas | Pathology | 1624 Mountain Dr, Little Rock, AR 72227-5837 | 2011-11-05 |
| 1295025492 | Melody Harrison | Pathology | 1 Lile Ct Ste 101, Little Rock, AR 72205-6239 | 2011-04-10 |
| 1679719017 | Ericka J Olgaard | Pathology | 4301 W. Markham Street, Slot 502, Little Rock, AR 72205 | 2009-01-06 |
| 1144431883 | Adam J Cole | Pathology | 25 Valley Estates Dr, Little Rock, AR 72212-4412 | 2007-05-24 |
| 1265545099 | Nicole A Massoll | Pathology | 4301 W Markham St # 517, Little Rock, AR 72205-7101 | 2006-08-16 |
| 1588620181 | Carmen K Steigman | Pathology | 800 Marshall St # 820, Little Rock, AR 72202-3510 | 2006-04-22 |
| 1720062862 | Daniel Anthony Irons | Pathology | 11711 Hermitage Rd, Suite 2, Little Rock, AR 72211-3718 | 2005-12-02 |
| 1891214235 | Zeljko Dvanajscak | Pathology | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211 | 2017-09-18 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on JON DANIEL WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.