Karen Luebcke Wiltin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2344 Issued in CO

Practice address

10103 Ridgegate Pkwy Ste 125
Lone Tree, CO 80124-5525

Phone

(303) 790-8899

Fax

(303) 790-2810

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1184761991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGE GATE PARKWAY SUITE 125",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-790-8899",
            "fax_number": "303-790-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 125",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "303-790-8899",
            "fax_number": "303-790-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTIN",
        "first_name": "KAREN",
        "middle_name": "LUEBCKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2344",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Wilson
• Helen R Wilson, O.D.
• John M. Wilson, M.A.
• Justin Dean Wilson, M.D.
• Ryan Robert Wilson, MD
• Derrick John Winckler, PAC
• Rita Winn, WHNP-BC
• Bradford T. Winslow, M.D.
• Davis Andrew Witt, MD
• Marcia Lynn Wojciechowski, PA-C

• Medical Physician Assistant in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.