Active NPI
Joseph Lewis Wilkis, M.D.
- Obstetrics & Gynecology Physician
- Scarborough, ME
National Provider Identifier
1720078975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 007299
- Practice address
- 71 U.S. Route One, Suite a
Elevation Center
Scarborough, ME 04074-9375 - Phone
- (207) 885-8400
- Fax
- (207) 885-8499
- NPI assigned
- Oct 27, 2005
- Last updated
- Nov 2, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 007299 | ME | Primary |
Addresses
Primary practice location
71 U.S. Route One, Suite a
Elevation Center
Scarborough, ME 04074-9375
Mailing address
71 U.S. Route One, Suite a
Elevation Center
Scarborough, ME 04074-9375
Phone (207) 885-8400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1040630 | Other | ME | AETNA |
| M3500 | Other | ME | CIGNA |
| 160028942 | Other | ME | GBA PALMETTA/RR MEDICARE |
| E16302 | Other | ME | UPIN |
| 017582 | Other | ME | ANTHEM |
| 323750099 | Medicaid | ME |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1720078975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 U.S. ROUTE ONE, SUITE A",
"address_2": "ELEVATION CENTER",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749375",
"telephone_number": "207-885-8400",
"fax_number": "207-885-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 U.S. ROUTE ONE, SUITE A",
"address_2": "ELEVATION CENTER",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749375",
"telephone_number": "207-885-8400",
"fax_number": "207-885-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKIS",
"first_name": "JOSEPH",
"middle_name": "LEWIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ME",
"license": "007299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1040630",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M3500",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GBA PALMETTA/RR MEDICARE",
"identifier": "160028942",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "E16302",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "017582",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323750099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.