Active NPI
Joan Leigh Wilkin, DO
- Emergency Medicine Physician
- Dallas, TX
National Provider Identifier
1184634859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- H2902
- Practice address
- 1441 N Becklay Ave
MMC Dallas
Dallas, TX 75203 - Phone
- (214) 942-5733
- Fax
- (214) 942-6115
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- 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 | H2902 | TX | Primary |
Addresses
Primary practice location
1441 N Becklay Ave
MMC Dallas
Dallas, TX 75203
Mailing address
4040 N Central Expressway
#600
Dallas, TX 75204-3147
Phone (214) 520-5743
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137435707 | Medicaid | TX | |
| 82949F | Other | TX | BLUECROSS-BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1184634859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 N CENTRAL EXPRESSWAY",
"address_2": "#600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752043147",
"telephone_number": "214-520-5743",
"fax_number": "214-520-5786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N BECKLAY AVE",
"address_2": "MMC DALLAS",
"city": "DALLAS",
"state": "TX",
"postal_code": "75203",
"telephone_number": "214-942-5733",
"fax_number": "214-942-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKIN",
"first_name": "JOAN",
"middle_name": "LEIGH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "H2902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137435707",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS-BLUESHIELD",
"identifier": "82949F",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.