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JOHN W WILSON DO PA
NPI 1215197090
Internal Medicine in Richardson, TX

Active since June 14, 2008CLIA 45D0710121 · Waiver
2011 N COLLINS BLVD, 609, RICHARDSON, TX 75080(972) 889-1194(972) 889-1425 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John W Wilson Do Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN W WILSON DO PA (NPI 1215197090) is a healthcare organization registered as an internal medicine in Richardson, Texas and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists John W Wilson, Physician, as its authorized official.

NPPES Registry Identity

NPI1215197090
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJOHN W WILSON D O P A
Location Address2011 N COLLINS BLVD, 609Richardson, TX 75080-2645
Mailing Address2011 N Collins Blvd, 609Richardson, TX 75080-2645 · (972) 889-1194 · Fax (972) 889-1425
Phone(972) 889-1194
Fax(972) 889-1425
Organization SubpartYes
Authorized OfficialJohn W WilsonPhysician · (972) 889-1194
Enumeration DateJune 14, 2008
Last NPPES UpdateNovember 13, 2008
✔ NPI 1215197090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · E6952
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2011 N COLLINS BLVD, Richardson, TX 75080
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Other Names 1

Other NameJohn W Wilson Do Pa

Other Identifiers 2

Medicare PIN00AH26TX
Medicaid195978501TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0710121

Dr John W Wilson · Richardson, TX
Active · expires Jan 10, 2028
CLIA Number45D0710121
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorJohn W. Wilson MD
Laboratory Phone(972) 889-1194
Laboratory LocationDr John W Wilson2011 N Collins Suite 609, Richardson, TX 75080
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY S MCGRAW LCSW
Social Worker (Clinical)
2011 N COLLINS BLVD, SUITE 709
RICHARDSON, TX 75080
Dallas County (972) 491-0483
MICHAEL D ASHBY D.C., P.A.
Chiropractor
2011 N COLLINS BLVD, STE 707
RICHARDSON, TX 75080
Dallas County (972) 414-8181
CONNECT BEHAVIORAL THERAPY CENTER, LLC
Clinic/Center
2011 N COLLINS BLVD
RICHARDSON, TX 75080
Dallas County (214) 785-2377
ARSOVA ACUPUNCTURE PLLC
Acupuncturist
2011 N COLLINS BLVD, SUITE 603
RICHARDSON, TX 75080
Dallas County (214) 730-0419
LISA ARSOVA L.AC. , D.O.M
Acupuncturist
2011 N COLLINS BLVD, SUITE 603
RICHARDSON, TX 75080
Dallas County (214) 730-0419
JOHN W WILSON DO
Internal Medicine
2011 N COLLINS BLVD, SUITE 609
RICHARDSON, TX 75080
Dallas County (972) 889-1194
DR. MICHAEL DWORACZYK ASHBY DC
Chiropractor
2011 N COLLINS BLVD, STE 707
RICHARDSON, TX 75080
Dallas County (972) 414-8181
MRS. KRISTINA M. STEPHENS MA, LPC
Counselor (Professional)
2011 N COLLINS BLVD, SUITE 801
RICHARDSON, TX 75080
Dallas County (972) 907-1107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John W Wilson D O P A's NPI number?

The NPI number for John W Wilson D O P A is 1215197090. It was assigned to this organization in the NPPES registry on June 14, 2008. The provider is also known as John W Wilson Do PA.

Where is John W Wilson D O P A located?

John W Wilson D O P A is located at 2011 N Collins Blvd 609, Richardson, TX 75080. The listed phone number is (972) 889-1194.

What is John W Wilson D O P A's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does John W Wilson D O P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0710121) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John W Wilson D O P A was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.