Individual provider Active NPI

John J Wilhelm, MD

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1518079367
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0027169 Issued in FL
Practice address
8787 Bryan Dairy Rd
Suite 240
Largo, FL 33777-1257
Phone
(727) 391-9690
Fax
(727) 397-8821
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0027169 FL Primary

Addresses

Primary practice location

8787 Bryan Dairy Rd
Suite 240
Largo, FL 33777-1257

Mailing address

8787 Bryan Dairy Rd
Suite 240
Largo, FL 33777-1257
Phone (727) 391-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000371 FL Practitioner - Family Practice 5193982056 Practice locations: Largo, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0027169FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1518079367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD",
            "address_2": "SUITE 240",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771257",
            "telephone_number": "727-391-9690",
            "fax_number": "727-397-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD",
            "address_2": "SUITE 240",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771257",
            "telephone_number": "727-391-9690",
            "fax_number": "727-397-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0027169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.