Organization Active NPI

Wikler Family Practice Associates Professional Corporation

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1366638413
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
639 Issued in NV
Legal business name
WIKLER FAMILY PRACTICE ASSOCIATES PROFESSIONAL CORPORATION
Practice address
8985 S Pecos Rd
4A
Henderson, NV 89074-7162
Phone
(702) 433-1332
Fax
(702) 547-4931
NPI assigned
Sep 22, 2007
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Dr. Abraham Wikler, D.O.NPI 1821172305
Title
President
Phone
(702) 433-1332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 639 NV Primary

Addresses

Primary practice location

8985 S Pecos Rd
4A
Henderson, NV 89074-7162

Mailing address

8985 S Pecos Rd
4A
Henderson, NV 89074-7162
Phone (702) 433-1332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000343 NV Part B Supplier - Clinic/Group Practice 2466439906 Receives reassigned benefits from 6 practitioners
Practice locations: Henderson, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0883628Wikler Family Practice8985 S Pecos Road Ste 4a, Henderson, NV 89074Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

8985 S Pecos Rd
Ste 4A
Henderson, NV 89074
Phone (702) 433-1332

3663 E Sunset Rd
Ste 303
Las Vegas, NV 89120
Phone (702) 433-1332

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1366638413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8985 S PECOS RD",
            "address_2": "4A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747162",
            "telephone_number": "702-433-1332",
            "fax_number": "702-547-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8985 S PECOS RD",
            "address_2": "4A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747162",
            "telephone_number": "702-433-1332",
            "fax_number": "702-547-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIKLER FAMILY PRACTICE ASSOCIATES PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "WIKLER",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-433-1332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.