Jody M Wilson
MD | Pediatrics | Male
Jody M Wilson, MD is a Mcalester, Oklahoma based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jody M Wilson is
1401 E Van Buren Ave, Mcalester, Oklahoma - 74501-4245. He can be contacted on phone at
918-421-8410 and fax number 918-421-8772.
Jody M Wilson is a sole proprietor of his business.
NPI number (Unique professional ID) for Jody M Wilson is
1518933290 which was assigned by NPPES on 23 Feb, 2006 and it was last updated on 20 Nov, 2018.
Jody M Wilson license number is
25350 for Pediatrics (208000000X) in Oklahoma.
Jody M Wilson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jody M Wilson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jody M Wilson |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jody M Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1401 E Van Buren Ave
Mcalester, OK, 74501-4245
United States |
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| Phone Number : | 918-421-8410 |
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| Fax Number : | 918-421-8772 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1518933290 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Feb, 2006 |
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| Last Updated On : | 20 Nov, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jody M Wilson are as mentioned. Primary taxonomy code for Jody M Wilson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 25350 | OK |
Legacy Identifiers:
Other legacy medical identifiers of Jody M Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 037735003 | MEDICAID | TX | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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2990 N BROADWAY AVE,
TYLER, TX, 75702-2149
United States | TYLER, TX | 903-593-1892 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1401 E Van Buren Ave
Mcalester, OK, 74501-4245
United States |
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| Phone Number : | 918-421-8410 |
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| Fax Number : | 918-421-8772 |
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Business Location:
Patients can refer following map for directions to
Jody M Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.