Jason Dwight Wilkins, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

110744 Issued in MO

Practice address

1000 N Boonville Ave
Springfield, MO 65802-3804

Phone

(417) 829-6629

NPI assigned

Jan 5, 2009

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

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 and National Provider Directory roles.

• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1295971703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W RUBEN LN",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658027774",
            "telephone_number": "417-862-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N BOONVILLE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023804",
            "telephone_number": "417-829-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "JASON",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "110744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Wiley, M.D.
• Colin Wilhite
• Shelbey Lauryn Wilkening, APRN, FNP-C
• Justin Wilkerson, D.O.
• Amanda R Wilkins, PLPC
• Kimberly Kay Wilkins, PSY.D.
• Lindsey Wilkins
• Andrew Louis Wilkinson, MS, ATC
• Trent Alan Wilkinson, DMD
• Sara Willenbrink

• Emergency Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.