Frank W Wilburn, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

07268 Issued in MS

Practice address

1573 Medical Park Cir
Tupelo, MS 38801-6580

Phone

(662) 844-9885

Fax

(662) 842-1350

NPI assigned

Sep 15, 2006

Last updated

Feb 17, 2016By the provider in NPPES

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

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1245336742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 COUNTY ROAD 981",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388667204",
            "telephone_number": "662-844-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 MEDICAL PARK CIR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016580",
            "telephone_number": "662-844-9885",
            "fax_number": "662-842-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "FRANK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "07268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00111494",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Rose Whitten
• Cheryl Lynn Whittenberg, M.ED.
• Natalya Wigginton, PHARMD
• Charles W. Wikle, D.D.S.
• Jo Ann Wilbanks, LPC
• Wilco Healthcare of North Mississippi, PLLC
• Martin Wildeman, LMFT
• Mark Wildmon, PH.D.
• Carla Jo Wilemon, LMSW
• Daniel Chase Wilkerson, ATC,LAT

• Pediatrics Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.