Active NPI
Nwia Bone, Joint & Sports Surgeons, PC
- Orthopaedic Surgery Physician
- Spencer, IA
National Provider Identifier
1760485528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS8940 | Other | IA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1525 W 5th St
#B
Storm Lake, IA 50588
Phone (712) 213-8050
Interoperability endpoints
- andrewpick@nwiabonejo.allscriptsdirect.net
- christopherrierson@nwiabonejo.allscriptsdirect.net
- jasonhough@nwiabonejo.allscriptsdirect.net
- jessewolfe@nwiabonejo.allscriptsdirect.net
- jodyvulk@nwiabonejo.allscriptsdirect.net
- johnleupold@nwiabonejo.allscriptsdirect.net
- katiehesse@nwiabonejo.allscriptsdirect.net
- kellymills@nwiabonejo.allscriptsdirect.net
- philipdeffer@nwiabonejo.allscriptsdirect.net
- rachelerandall@nwiabonejo.allscriptsdirect.net
- sethharrer@nwiabonejo.allscriptsdirect.net
- steffanyhinkeldey@nwiabonejo.allscriptsdirect.net
- 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.
-
- Nurse Practitioner
- Storm Lake, IA
- NPI 1154960383
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
- Northwest Iowa Mental Health Center (Seasons Center fo Behavioral Health)
- Northwest Iowa Mental Health Center (Seasons Center for Behavioral Health)
- Northwest Iowa Surgeons PC
- Northwest Iowa Urologists PC
- Nwia Bone Joint and Sports Surgeons
- Carol Ann Olberding, P.A. - C
- Bradley C Olsen
- Dana Olson
- Amy Marie Ondler, LISW
- Oral & Maxillofacial Surgery Assoc PC
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.