Active NPI
Abraham Wilks, MD
- Emergency Medicine Physician
- New Port Richey, FL
National Provider Identifier
1043224439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME58380
- Practice address
- 6600 Madison St
New Port Richey, FL 34652-1971 - Phone
- (727) 842-4612
- Fax
- (727) 843-4501
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME58380 | FL | Primary |
Addresses
Primary practice location
6600 Madison St
New Port Richey, FL 34652-1971
Mailing address
1112 S Florida Ave
Tarpon Springs, FL 34689-2950
Phone (727) 938-3085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58380 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baydock Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Brodrick ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
| Tarpon Springs Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Palm Harbor Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
| Osprey Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Emergency Medicine Physician
- New Port Richey, FL
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- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1467400796
-
- Emergency Medicine Physician
- Hudson, FL
- NPI 1740206291
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1063461960
-
- Emergency Medicine Physician
- Hudson, FL
- NPI 1801838412
-
- Emergency Medicine Physician
- Tarpon Springs, FL
- NPI 1568415370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043224439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 S FLORIDA AVE",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346892950",
"telephone_number": "727-938-3085",
"fax_number": "727-507-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 MADISON ST",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346521971",
"telephone_number": "727-842-4612",
"fax_number": "727-843-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKS",
"first_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME58380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.