Active NPI
Stacy Leigh Wilkinson, DO
- Family Medicine Physician
- Longview, TX
National Provider Identifier
1437434099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P8324
- Practice address
- 1761 W Loop 281
Longview, TX 75604-2734 - Phone
- (903) 297-1733
- Fax
- (903) 295-1600
- NPI assigned
- Oct 14, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P8324 | TX | Primary |
Addresses
Primary practice location
1761 W Loop 281
Longview, TX 75604-2734
Mailing address
PO Box 4207
Longview, TX 75606-4207
Phone (903) 315-4119
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8324 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1437434099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4207",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756064207",
"telephone_number": "903-315-4119",
"fax_number": "903-315-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 W LOOP 281",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756042734",
"telephone_number": "903-297-1733",
"fax_number": "903-295-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "STACY",
"middle_name": "LEIGH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P8324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
- Megan Wilder
- Terri Mae Wilhoit, OTA
- Jeri L Wilkerson, PHARMD
- Stefanie Lynn Wilkerson, RD, CSG, LD
- David Alan Wilkinson, D.D.S.
- Willem H. Fahrenbruck, LPC, PLLC
- Kourtney Marie Willett, PA-C
- Williams Pediatric Therapy, PLLC
- Joycelyn Sheri Williams Thomas, PH.D.
- Aimee Rebecca Williams-Wilbanks, SLP ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.