Active NPI
Aaron Wilkerson
- Specialist
- Liberty, MO
National Provider Identifier
1275085334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- LC001491488
- Practice address
- 527 N Grover St
Liberty, MO 64068-1619 - Phone
- (816) 714-4241
- Fax
- (816) 298-0243
- NPI assigned
- Oct 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | LC001491488 | MO | Primary |
Addresses
Primary practice location
527 N Grover St
Liberty, MO 64068-1619
Mailing address
527 N Grover St
Liberty, MO 64068-1619
Phone (816) 714-4241
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC001491488 | MO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1275085334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 N GROVER ST",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681619",
"telephone_number": "816-714-4241",
"fax_number": "816-298-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 N GROVER ST",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681619",
"telephone_number": "816-714-4241",
"fax_number": "816-298-0243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "AARON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-25",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "LC001491488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.