DR. EVERETT JAN WILSON D.O. NPI 1780753707

NPI Information

  • NPI: 1780753707
  • Provider Name: DR. EVERETT JAN WILSON, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 5900 N MAIN ST
    DAYTON, OH
    ZIP 45415
  • Phone: (937) 277-9371

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NPI Details

DR. Everett Jan Wilson, D.O. is a family medicine in Dayton, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Everett Jan Wilson, D.O. NPI is 1780753707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5900 N MAIN ST
DAYTON, OH
ZIP 45415-150
Phone: (937) 277-9371
Fax: (937) 277-7734

The enumeration date for this NPI number is 11/6/2006 and was last updated on 5/18/2012.

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
1207W00000XOphthalmology34-002236OHIONo
2207Q00000XFamily Medicine34-002236OHIOYes

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
14095418MEDICARE ID-TYPE UNSPECIFIEDOHIO
2H72989MEDICARE UPINOHIO

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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