DR. JOHNNY M WILSON M.D.
NPI 1114910080
Family Medicine in Willow Park, TX

NPI Status: Active since August 25, 2005

Contact Information

136 EL CHICO TRL
SUITE 103
WILLOW PARK, TX
ZIP 76087
Phone: (817) 441-1441
Fax: (817) 441-1443

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  • Individual
  • Male
  • Family Medicine

About JOHNNY WILSON

This page provides the complete NPI Profile along with additional information for Johnny Wilson, a primary care provider established in Willow Park, Texas with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1114910080 assigned on August 2005. The practitioner's primary taxonomy code is 207Q00000X with license number L4177 (TX). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1114910080
Provider Name
DR. JOHNNY M WILSON M.D.
Gender
Male
Entity Type
Individual
Location Address
136 EL CHICO TRL SUITE 103 WILLOW PARK, TX 76087
Location Phone
(817) 441-1441
Location Fax
(817) 441-1443
Mailing Address
136 EL CHICO TRL SUITE 103 WILLOW PARK, TX 76087
Mailing Phone
(817) 441-1441
Mailing Fax
(817) 441-1443
Is Sole Proprietor?
No
Enumeration Date
08-25-2005
Last Update Date
03-29-2010
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A primary care provider (PCP) like Johnny Wilson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
L4177
License State
TX
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
L4177OTHER (01)TXUNICARE
0082174OTHER (01)TXBLUE LINK
8L23343MEDICARE PIN (08)TX 
WILJC67146OTHER (01)TXCHIP HEALTHPLAN
C67146MEDICARE UPIN (02)TX 
0072KCOTHER (01)TXBLUE CROSS BLUE SHIELD
7111148OTHER (01)TXAETNA/TRS COORDINATED CAR
1164502OTHER (01)TXAFFILIATED HEALTHCARE
1354278OTHER (01)TXFOCUS
158350201MEDICAID (05)TX 
158350203MEDICAID (05)TX 
00769HMEDICARE PIN (08)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114910080
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241810016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 1 + 0 + 0 + 1 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114910080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619252293TEXAS GRINS FAMILY DENTISTRY, PA
Organization
Durable Medical Equipment & Medical Supplies (Customized Equipment)136 EL CHICO TRL SUITE 101
WILLOW PARK, TX 76087
(817) 441-3232
1194753368 JULIA BETH TALBOYS FNP-C
Individual
Nurse Practitioner (Family)136 EL CHICO TRL STE 102
WILLOW PARK, TX 76087
(817) 441-5412
1073994448 SPERRY BINNICKER
Individual
Nurse Practitioner (Primary Care)136 EL CHICO TRL STE 102
WILLOW PARK, TX 76087
(817) 441-5412
1760675961 DEVONA MARTIN M.D.
Individual
Pediatrics136 EL CHICO TRL STE 102
WILLOW PARK, TX 76087
(817) 441-5412

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114910080, enumerated in the NPI registry as an "individual" on August 25, 2005

The provider is located at 136 El Chico Trl Suite 103 Willow Park, Tx 76087 and the phone number is (817) 441-1441

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 25, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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