JOHN WILSON LSA
NPI 1720417496
Specialist/Technologist, Other - Surgical Assistant in Rowlett, TX

Q: What is John Wilson's NPI number?

The NPI number for John Wilson is 1720417496. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Q: What is John Wilson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for John Wilson was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 04, 2013

3905 MELCER DR STE 601, ROWLETT, TX 75088(214) 227-2457(214) 764-0888 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2023, Nov 15, 2023, Aug 9, 2019 (3 updates tracked since 2019).

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About John Wilson Lsa NPPES

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

JOHN WILSON LSA (NPI 1720417496) is an individual surgical assistant in Rowlett, Texas, licensed in Texas (SA00753) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1720417496

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameJOHN WILSONCredential: LSA

Location Address3905 MELCER DR STE 601Rowlett, TX 75088-4033

Mailing Address3905 Melcer Dr Ste 601Rowlett, TX 75088-4033 · (214) 227-2457 · Fax (214) 764-0888

Phone(214) 227-2457

Fax(214) 764-0888

Sole ProprietorYes

Enumeration DateNovember 4, 2013

Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration

NPPES CertifiedNovember 21, 2023

✔ NPI 1720417496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in TX · SA00753

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

3905 MELCER DR STE 601, Rowlett, TX 75088

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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.

NORTH TEXAS PRO SURGICAL ASSIST

Nurse Practitioner