Harold Washington Wilkie Jr., MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G032679 Issued in CA

Practice address

6001 Norris Canyon Rd
San Ramon, CA 94583-5400

Phone

(925) 275-8280

Fax

(925) 275-8284

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Lafayette, CA
  • NPI 1891132106
  Medicare reassignment NPD
• Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Brentwood, CA
  • NPI 1265169643
  NPD

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629161971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WOODLAND WAY",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113839",
            "telephone_number": "510-653-2313",
            "fax_number": "510-595-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NORRIS CANYON RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835400",
            "telephone_number": "925-275-8280",
            "fax_number": "925-275-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKIE",
        "first_name": "HAROLD",
        "middle_name": "WASHINGTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G032679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanja Kordich White
• Seaira White
• Whole Life Family Therapy Inc
• Wildhorse
• Melanie Wilhite
• Christopher Shean Wilkins, PA-C
• Emily Willett
• William Stewart, D.P.M.
• Brianna Williams
• Elena Denise Williams

• Emergency Medicine Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.