Organization Active NPI

Nwia Bone, Joint & Sports Surgeons, PC

  • Orthopaedic Surgery Physician
  • Spencer, IA
National Provider Identifier
1760485528
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NWIA BONE, JOINT & SPORTS SURGEONS, PC
Practice address
1200 1St Ave E
Ste C
Spencer, IA 51301-4342
Phone
(712) 262-7511
Fax
(712) 262-3658
NPI assigned
May 24, 2005
Last updated
Feb 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Dr. Ricky Duane Wilkerson, D.O.
Title
Physician/Owner
Phone
(712) 262-7511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Foot & Ankle Surgery Podiatrist 213ES0103X

Addresses

Primary practice location

1200 1St Ave E
Ste C
Spencer, IA 51301-4342

Mailing address

1200 1St Ave E
Ste C
Spencer, IA 51301-4342
Phone (712) 262-7511

Other identifiers 1

IdentifierTypeStateIssuer
CS8940OtherIARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1525 W 5th St
#B
Storm Lake, IA 50588
Phone (712) 213-8050

Interoperability endpoints

  • Direct secure messaging: andrewpick@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: christopherrierson@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: jasonhough@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: jessewolfe@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: jodyvulk@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: johnleupold@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: katiehesse@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: kellymills@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: philipdeffer@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: rachelerandall@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: sethharrer@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: steffanyhinkeldey@nwiabonejo.allscriptsdirect.net
  • Direct secure messaging: timothyblankers@nwiabonejo.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1760485528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "STE C",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "STE C",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWIA BONE, JOINT & SPORTS SURGEONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "712-262-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS8940",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.