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

Jon Daniel Wilson, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1407816218

Jon Daniel Wilson, MD is a Pathology in Little Rock, Arkansas. Graduated from University of Hawaii John A. Burns School of Medicine in 1992, 34 years ago. Practices with Nephropathology Associates, PLC, a 30-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
34
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
MI
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

10810 Executive Center Dr Ste 100
Little Rock, AR 72211-4386
Phone: (501) 604-2695
Fax: (501) 604-2699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301076903 (MI)

Record details

NPI number1407816218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESNovember 11, 2015

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Nephropathology Associates, Plc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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