John Harrison Wilbanks, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

E1179 Issued in TX

Practice address

12221 N Mopac Expy
Austin, TX 78758

Phone

(512) 334-2700

Fax

(512) 623-5290

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Texas Medical Specialists PLLC

  dba Georgetown Cancer Center

  • Specialist
  • Austin, TX
  • NPI 1124250410
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1194795831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584031",
            "telephone_number": "512-334-2686",
            "fax_number": "512-623-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-334-2700",
            "fax_number": "512-623-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "JOHN",
        "middle_name": "HARRISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "E1179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136184211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Wigginton, BCBA, MS
• James Mack Wigley, LPC
• Anne Wiik, LCSW
• Subhashie Wijemanne, M.D.
• Grethe E Wik, DO
• Cynthia Wilberts, RPH
• Steven Wilborn
• Thelma Wilborn, R.D.,L.D.
• Brooke Wilbraham, LMSW
• Frederick Prince Wilbur, D.D.S.

• Radiation Oncology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.