Allison Christine Wilbanks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07381 Issued in TX

Practice address

723 North Fielder Road
Suite C
Arlington, TX 76012-4662

Phone

(817) 261-1122

Fax

(817) 261-1123

NPI assigned

Jul 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Allison Christine Burkhart Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Oliver Street 5.01(a) Inc.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment Care Compare group
• Mansfield Dermatology, PLLC

  • Dermatology Physician
  • Mansfield, TX
  • NPI 1598913253
  Medicare reassignment
• Dermatology Associates

  • Dermatology Physician
  • Houston, TX
  • NPI 1356523039
  NPD (past)

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1366720179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 EAST BROAD STREET",
            "address_2": "SUITE 408",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636414",
            "telephone_number": "817-539-0959",
            "fax_number": "817-539-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 NORTH FIELDER ROAD",
            "address_2": "SUITE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124662",
            "telephone_number": "817-261-1122",
            "fax_number": "817-261-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "ALLISON",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "BURKHART",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Abernathy Wicker, PSYCHOLOGIST
• James Steven Wiernas Jr.
• Eric S. Wieser, M.D.
• Ricky Glen Wiggins, MS, ATC, LAT
• Richard Paul Wikoff, M.D.
• Shalese Wilbert
• Brittany Wilburn
• Wilcare Dallas, Inc.
• Sarah Wilcox, RD, LD
• Wiley F. Curtis, O.D., P.C.

• Physician Assistant in Arlington, TX
• Providers in Arlington, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.