JODY M WILSON MD
NPI 1518933290
Pediatrics in Mcalester, OK

Q: What is Jody Wilson's NPI number?

The NPI number for Jody Wilson is 1518933290. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Q: What is Jody Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jody Wilson was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 23, 2006

1401 E VAN BUREN AVE, MCALESTER, OK 74501(918) 421-8410(918) 421-8772 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jody M Wilson Md NPPES

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

JODY M WILSON MD (NPI 1518933290) is an individual pediatrics provider in Mcalester, Oklahoma, licensed in Oklahoma (25350) and active in the NPI registry since February 2006. He maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1518933290

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJODY M WILSONCredential: MD

Location Address1401 E VAN BUREN AVEMcalester, OK 74501-4245

Mailing Address1401 E Van Buren AveMcalester, OK 74501-4245 · (918) 421-8410 · Fax (918) 421-8772

Phone(918) 421-8410

Fax(918) 421-8772

Sole ProprietorNo

Enumeration DateFebruary 23, 2006

Last NPPES UpdateNovember 20, 2018

✔ NPI 1518933290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OK · 25350

Definition

A pediatrician 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.

1401 E VAN BUREN AVE, Mcalester, OK 74501

Open in Google Maps ↗

Secondary Practice Location 1

Location 12990 N Broadway AveTyler, TX 75702-2149 · Phone (903) 593-1892 · Fax (903) 592-3886

Other Identifiers 1

Medicaid037735003TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

PAUL STEPHEN THOMAS MD

Pediatrics