Edmund L Wilkins, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

18148 Issued in KY

Practice address

1724 Rockingham Ave
Ste 201
Bowling Green, KY 42104-5841

Phone

(270) 745-0040

Fax

(270) 745-0041

NPI assigned

Jun 20, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Ophthalmology

Education

University of Louisville School of Medicine, 1974

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699770206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 ROCKINGHAM AVE",
            "address_2": "STE 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045841",
            "telephone_number": "270-745-0040",
            "fax_number": "270-745-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 ROCKINGHAM AVE",
            "address_2": "STE 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045841",
            "telephone_number": "270-745-0040",
            "fax_number": "270-745-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "EDMUND",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "18148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN  NUMBER",
            "identifier": "000000049570",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64181480",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NUMBER",
            "identifier": "000000059919",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melisa Wiley
• Angela Kitchens Wilhelm, DNP
• Makayla Wilhelm, BCBA
• Cole Thomas Wilken
• Samuel Wade Wilkey, D.C.
• Lisa Wilkins, LCSW
• Bonny Willard, APRN
• Jessica Marie Willetts
• Sean Timothy Willgruber, M.D.
• William a. Schwank, M.D.

• Ophthalmology Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Ophthalmology Physician in Kentucky

• 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.
• 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.