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
- 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
- Code Navigator
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 .
Location Map
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 |
|---|---|---|---|
| L4177 | OTHER (01) | TX | UNICARE |
| 0082174 | OTHER (01) | TX | BLUE LINK |
| 8L23343 | MEDICARE PIN (08) | TX | |
| WILJC67146 | OTHER (01) | TX | CHIP HEALTHPLAN |
| C67146 | MEDICARE UPIN (02) | TX | |
| 0072KC | OTHER (01) | TX | BLUE CROSS BLUE SHIELD |
| 7111148 | OTHER (01) | TX | AETNA/TRS COORDINATED CAR |
| 1164502 | OTHER (01) | TX | AFFILIATED HEALTHCARE |
| 1354278 | OTHER (01) | TX | FOCUS |
| 158350201 | MEDICAID (05) | TX | |
| 158350203 | MEDICAID (05) | TX | |
| 00769H | MEDICARE 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. | |||||||||
| 1 | 1 | 1 | 4 | 9 | 1 | 0 | 0 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 1 | 0 | 0 | 16 | |
| 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 |
|---|---|---|---|
| 1619252293 | TEXAS 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 | Pediatrics | 136 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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