Keith Wade Wilkerson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0937 Issued in TX

Practice address

3150 Matlock Rd
Suite 405
Arlington, TX 76015-2992

Phone

(817) 472-6555

Fax

(817) 472-6562

NPI assigned

Mar 15, 2007

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 TX

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

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1740314657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 MATLOCK RD STE 405",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152924",
            "telephone_number": "817-472-6555",
            "fax_number": "817-472-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 MATLOCK RD",
            "address_2": "SUITE 405",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152992",
            "telephone_number": "817-472-6555",
            "fax_number": "817-472-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "KEITH",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilcare Dallas, Inc.
• Sarah Wilcox, RD, LD
• Wiley F. Curtis, O.D., P.C.
• Georgena D Wiley, FNP-BC, RN
• Alicia Wilkerson, D.O.
• Yakira Wilkerson
• Sterling Wilkinson
• Terry L Wilkinson, M.D.
• Will Take It Agency, LLC
• Martha Willey

• Family Medicine Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.