T David I Wilkes MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C5113 Issued in AR

Legal business name

T DAVID I WILKES MD PA

Practice address

9800 Lile Dr
Suite 600
Little Rock, AR 72205-6229

Phone

(501) 221-0123

Fax

(501) 227-8859

NPI assigned

Nov 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. T David I Wilkes, MD

Title

Owner

Phone

(501) 221-0123

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krystal Collins, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1780230375
  NPD (past)
• Jennifer Trew Scruggs, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Little Rock, AR
  • NPI 1912906876

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1083941587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 LILE DR",
            "address_2": "SUITE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056229",
            "telephone_number": "501-221-0123",
            "fax_number": "501-227-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 LILE DR",
            "address_2": "SUITE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056229",
            "telephone_number": "501-221-0123",
            "fax_number": "501-227-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T DAVID I WILKES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "T DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-221-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Systemedic
• Joanne Szabo, MD
• Patrick Pakkee Szeto, M.D.
• Blakely Sziszak, RT
• T & E Jones Inc
• Jennifer Myka Tabor, PHARM D
• Patrena D Tabron, B.A, M.H.P.P.
• Nangah Ngum Tabukum, MD
• Susan Tacker
• Caitlin Tackett

• Ophthalmology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.