Active NPI
David Allan Wilkinson
- Emergency Medicine Physician
- Steamboat Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G25145
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01251453 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120302000519 | CO | Practitioner - Emergency Medicine | 9133388614 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G25145 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics of Steamboat Springs PC | Current | Accepting new patients | |
| Yampa Valley Medical Center | Current | Accepting new patients | |
| Yampa Valley Medical Center | Current | 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.
-
- Orthopaedic Surgery Physician
- Steamboat Springs, CO
- NPI 1073538401
-
- General Acute Care Hospital
- Steamboat Springs, CO
- NPI 1790787307
-
- Pharmacy
- Steamboat Springs, CO
- NPI 1861814097
-
- Multi-Specialty Clinic/Center
- Steamboat Springs, CO
- NPI 1295177426
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.