Individual provider Active NPI

David Allan Wilkinson

  • Emergency Medicine Physician
  • Steamboat Springs, CO
National Provider Identifier
1063516680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G25145 Issued in CO
Practice address
1024 Central Park Dr
Steamboat Springs, CO 80487-8813
Phone
(970) 879-1322
Fax
(970) 870-1223
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G25145 CO Primary

Addresses

Primary practice location

1024 Central Park Dr
Steamboat Springs, CO 80487-8813

Mailing address

1024 Central Park Dr
Steamboat Springs, CO 80487-8813
Phone (970) 879-1322

Other identifiers 1

IdentifierTypeStateIssuer
01251453MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120302000519 CO Practitioner - Emergency Medicine 9133388614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G25145COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics of Steamboat Springs PC CurrentSince Aug 23, 2000 Accepting new patients
Yampa Valley Medical Center Current Accepting new patients
Yampa Valley Medical Center CurrentSince Jan 13, 1983 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients

Locations

705 Marketplace Plz
Ste 200
Steamboat Springs, CO 80487
Phone (970) 439-0800

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

940 Central Park Dr
Ste 280
Steamboat Springs, CO 80487
Phone (970) 439-0800

705 Marketplace Plz
Steamboat Springs, CO 80487
Phone (970) 439-0800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063516680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 CENTRAL PARK DR",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878813",
            "telephone_number": "970-879-1322",
            "fax_number": "970-870-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 CENTRAL PARK DR",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878813",
            "telephone_number": "970-879-1322",
            "fax_number": "970-870-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "G25145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01251453",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.