Margaret Waller Wilckens, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C0003665 Issued in MD

Practice address

601 N Caroline St
Dept of Orthopaedics
Baltimore, MD 21287-0006

Phone

(410) 955-9300

Fax

(410) 955-1719

NPI assigned

Apr 16, 2008

Last updated

Apr 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1033383476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST",
            "address_2": "DEPT OF ORTHOPAEDICS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST",
            "address_2": "DEPT OF ORTHOPAEDICS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006",
            "telephone_number": "410-955-9300",
            "fax_number": "410-955-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCKENS",
        "first_name": "MARGARET",
        "middle_name": "WALLER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0003665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrick Wigley, M.D.
• William Bruce Wike Jr., LPTA
• Wil-Co Transportation
• Helen Catherine Wilbur, MD
• John Wilckens, M.D.
• Wilcome Human Services, Inc.
• Abigail Wilcox, OTD, OTR/L
• Christopher Wilcox, DO
• Deborah Wilcox, LCSW
• Twanesha Nicole Wilcox

• Surgical Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.