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Dr. Jack Edward Wilson, MD

Surgery Physician in Lemoyne, PA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790756542

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Registry record

Entity type Individual (Type 1)
Name Dr. Jack Edward Wilson
Credential MD
Sex Male
Practice address 3 Walnut St Ste 100, Lemoyne, PA, 17043
Phone (717) 761-4141
Fax (717) 761-1456
Enumeration date Jan 30, 2006
Last updated in NPPES Jan 23, 2021

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License MD025597E (PA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
000971496 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Jack Wilson?
Jack Wilson is registered in NPPES with the primary taxonomy of Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-23.