Active NPI
Malcolm Wilkinson, MD
- Family Medicine Physician
- Cottonwood, AZ
National Provider Identifier
1609972272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21001
- Practice address
- 300 S Willard St
Ste 101
Cottonwood, AZ 86326-4159 - Phone
- (938) 639-1273
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 21001 | AZ | Primary |
Addresses
Primary practice location
300 S Willard St
Ste 101
Cottonwood, AZ 86326-4159
Mailing address
PO Box 3425
Cottonwood, AZ 86326-2598
Phone (938) 634-0665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113895 | Medicaid | AZ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21001 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malcolm Wilkinson, MD | Family Medicine | Past | Accepting new patients |
| R. Scott Kinkade MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Cottonwood, AZ
- NPI 1497851067
-
- Specialist
- Cottonwood, AZ
- NPI 1427265628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1609972272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3425",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863262598",
"telephone_number": "938-634-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S WILLARD ST",
"address_2": "STE 101",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264159",
"telephone_number": "938-639-1273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "MALCOLM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "21001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113895",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.