Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Edward Wilson, MD

Individual provider Surgery Physician · NPI 1790756542

Dr. Jack Edward Wilson, MD is a General Surgery in Lemoyne, Pennsylvania. Graduated from Temple University School of Medicine in 1980, 46 years ago. Practices with Pinnacle Health Medical Services, a 1,026-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
46
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3 Walnut St Ste 100
Lemoyne, PA 17043
Phone: (717) 761-4141
Fax: (717) 761-1456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD025597E (PA)

Record details

NPI number1790756542
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESJanuary 23, 2021
Certification dateJanuary 23, 2021
Mailing address409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Pinnacle Health Medical Services — 1026 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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