JON DANIEL WILSON MD NPI 1407816218

NPI Information

  • NPI: 1407816218
  • Provider Name: JON DANIEL WILSON, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10810 EXECUTIVE CENTER DR STE 100
    LITTLE ROCK, AR
    ZIP 72211
  • Phone: (501) 604-2695

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NPI Details

Jon Daniel Wilson, MD is an anatomic pathology and clinical pathology pathology in Little Rock, AR with 34 years of experience. The provider is 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. Jon Daniel Wilson, MD NPI is 1407816218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

10810 EXECUTIVE CENTER DR STE 100
LITTLE ROCK, AR
ZIP 72211-386
Phone: (501) 604-2695
Fax: (501) 604-2699

The NPI 1407816218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Evaluation of specimen enzymes (HCPCS:88319)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report (HCPCS:88314)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Electron microscopy for diagnosis (HCPCS:88348)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)

The enumeration date for this NPI number is 3/24/2006 and was last updated on 11/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology4301076903MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10F36237022MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2H23931MEDICARE UPINMICHIGAN
34244846MEDICAIDMICHIGAN
4220F362370OTHERMICHIGANBCBSM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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