Jack J Wilson MD PA
NPI 1083644025 · Obstetrics & Gynecology Physician · Winter Park, FL
Jack J Wilson MD PA is a Obstetrics & Gynecology Physician organization in Winter Park, FL (NPI 1083644025).
Provider details
- NPI number
- 1083644025
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Wilson, Pres(407) 628-0853
- License
- ME 0058840 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2010-06-07
Frequently asked questions
- What is Jack J Wilson MD PA's NPI number?
- Jack J Wilson MD PA's National Provider Identifier (NPI) is 1083644025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack J Wilson MD PA?
- Jack J Wilson MD PA is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Jack J Wilson MD PA located?
- Jack J Wilson MD PA's practice location on file with NPPES is 2025 Summerland Ave, Winter Park, FL 32789-1453.
- What is Jack J Wilson MD PA's phone number?
- The practice phone number listed in the NPPES registry for Jack J Wilson MD PA is (407) 628-0853.
- Who is the authorized official for Jack J Wilson MD PA?
- The authorized official listed on Jack J Wilson MD PA's NPPES record is Jack Wilson, Pres. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack J Wilson MD PA's NPI active?
- Yes — Jack J Wilson MD PA's NPI (1083644025) is active in the NPPES registry as of the last update on 2010-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.