Individual provider Active NPI

Richard Harry Wilkins, D.O.

  • Multi-Specialty Clinic/Center
  • Raymond, ME
National Provider Identifier
1093985434
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
DO2302 Issued in ME
Practice address
1278 Roosevelt TRL
Raymond, ME 04071-6604
Phone
(207) 655-6181
Fax
(207) 655-6188
NPI assigned
Feb 29, 2008
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X DO2302 ME Primary
Occupational Medicine Physician 2083X0100X DO2302 ME
General Practice Physician 208D00000X DO2302 ME

Addresses

Primary practice location

1278 Roosevelt TRL
Raymond, ME 04071-6604

Mailing address

1278 Roosevelt TRL
Raymond, ME 04071-6604
Phone (207) 655-6181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20150224000187 ME Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Other (Physician) 7012233737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2302MEMDOccupational Medicine Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1093985434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 ROOSEVELT TRL",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716604",
            "telephone_number": "207-655-6181",
            "fax_number": "207-655-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 ROOSEVELT TRL",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716604",
            "telephone_number": "207-655-6181",
            "fax_number": "207-655-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "RICHARD",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "ME",
            "license": "DO2302",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "ME",
            "license": "DO2302",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ME",
            "license": "DO2302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, ME

Sources for this page

Verify at the official NPI Registry.