Organization Active NPI

James B Wilkens Jr. M.D. P.C.

  • Internal Medicine Physician
  • Titusville, PA
National Provider Identifier
1346208444
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JAMES B WILKENS JR. M.D. P.C.
Practice address
322 W Main St
Titusville, PA 16354-1615
Phone
(814) 827-9770
Fax
(814) 827-0157
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. James B Wilkens Jr.
Title
Owner
Phone
(814) 827-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

322 W Main St
Titusville, PA 16354-1615

Mailing address

322 W Main St
Titusville, PA 16354-1615
Phone (817) 827-9770

Other identifiers 1

IdentifierTypeStateIssuer
0011804220002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1346208444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541615",
            "telephone_number": "817-827-9770",
            "fax_number": "814-827-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541615",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B WILKENS JR. M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "WILKENS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-827-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011804220002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.