John Callaway Wiltsie, M.D.

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

16135 Issued in MN

Practice address

4554 Cornwall Dr NW
Rochester, MN 55901-3423

Phone

(507) 289-0151

NPI assigned

Aug 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219536000000",
    "number": "1154578912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 CORNWALL DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013423",
            "telephone_number": "507-289-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 CORNWALL DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013423",
            "telephone_number": "507-289-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSIE",
        "first_name": "JOHN",
        "middle_name": "CALLAWAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-24",
        "last_updated": "2008-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MN",
            "license": "16135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Wilson, RN
• Timothy O Wilson, M.D.
• Walter R Wilson, M.D.
• Delaney Elise Wilton, M.D.
• Kimberly M Wiltshire, RN
• Gina R Wimmer, RD, LD
• Anthony J Windebank, M.D.
• Nicholas Ryan Winder
• Sara Frances Windham, RN
• Anna Jo Windish-Owen

• Hematology (Internal Medicine) Physician in Rochester, MN
• Providers in Rochester, MN by specialty
• Hematology (Internal Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2008; 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.