Jon Daniel Wilson (NPI# 1407816218, PAC ID# 8921294323) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1407816218 |
| PAC ID by PECOS | 8921294323 |
| Professional Enrollment ID | I20151215002197 |
| Full Name | Jon Daniel Wilson |
| Organization Legal Name | NEPHROPATHOLOGY ASSOCIATES, PLC |
| Address |
10810 Executive Ctr Dr Suite 100 Little Rock AR 72211-4386 |
| Phone Number | 5016042695 |
| Gender | M |
| Medical School | UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 6901707405 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| Address | Phone | Organization |
|---|---|---|
| 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 | 5016042695 | NEPHROPATHOLOGY ASSOCIATES, PLC |
| Organization Legal Name | NEPHROPATHOLOGY ASSOCIATES, PLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry N Cossey | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Md Shahrier Amin | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Thomas David Bourne | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Edward Kelly Steven Mrachek | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Jane M Bell | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Stephen M Bonsib | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Christopher P Larsen | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Randolph A Hennigar | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Shree G Sharma | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Christie L Boils | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Street Address |
10810 EXECUTIVE CTR DR SUITE 100 |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72211-4386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry N Cossey | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Md Shahrier Amin | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Thomas David Bourne | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Edward Kelly Steven Mrachek | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Jane M Bell | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Stephen M Bonsib | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Christopher P Larsen | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Randolph A Hennigar | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Shree G Sharma | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Christie L Boils | Pathology | Nephropathology Associates, Plc | 10810 Executive Ctr Dr, Suite 100, Little Rock, AR 72211-4386 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Hart | Interventional Pain Management | 1508 Macon Dr, Suite C6, Little Rock, AR 72211-1663 | |
| Avram J Zolten | Psychologist, Clinical | Comprehensive Neuropsychological Services Inc, 8 Shackleford Plaza Suite 201, Little Rock, AR 72211-1826 | |
| James B Nowlin | Anesthesiology | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Jasmine L Black | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| John T Cheairs | Anesthesiology | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Emily F Eisenach | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Lesley L Guthrie | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Jaanna L Taylor | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Zada V Adametz | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Ronald E Daniel Jr. | Certified Registered Nurse Anesthetist (crna) | Pinnacle Anesthesia Consultants, Pllc | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1843 |
| Find all physicians in zip 72211 | |||
| City | LITTLE ROCK |
| Zip Code | 72211 |
| Specialty | PATHOLOGY |
| City + Specialty | LITTLE ROCK + PATHOLOGY |
Please comment or provide details below to improve the information on Jon Daniel Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.