Joshua R Wilkinson, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

E6232 Issued in AR

Practice address

5901 Riley Park Drive
Suite B
Fort Smith, AR 72916

Phone

(479) 763-3050

Fax

(479) 763-3281

NPI assigned

Jan 11, 2008

Last updated

Jul 2, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jwilkinson124904@directb.mercy.net

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.

• Premier Pediatrics PLLC

  • Pediatric Adolescent Medicine Physician
  • Fort Smith, AR
  • NPI 1588121065
  NPD (past)

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1255517066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 RILEY PARK DRIVE",
            "address_2": "SUITE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729164278",
            "telephone_number": "479-763-3050",
            "fax_number": "479-763-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 RILEY PARK DRIVE",
            "address_2": "SUITE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72916",
            "telephone_number": "479-763-3050",
            "fax_number": "479-763-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AR",
            "license": "E6232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100047310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Wikman, M.D.
• Kenny Wiley, QBHP
• Aleah Kay Wilkerson, COTA/L
• Robert Wilkerson, PLMSW
• Karesse Ariel Wilkey
• Mollie Grace Ann Wilkinson, COTA/L
• Aubree Wille, RBT
• Tabathea Willet
• Alicia Willhite, QBHP
• Cherie Williams Symonds, QBHP

• Pediatric Adolescent Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Pediatric Adolescent Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.