Organization Active NPI

Wilking Medical Associates

  • Specialist
  • Concord, MA
National Provider Identifier
1760507420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WILKING MEDICAL ASSOCIATES
Practice address
35 Robin Wood Rd
Concord, MA 01742-3914
Phone
(978) 369-6064
Fax
(978) 369-0352
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Spencer Van B Wilking, MDNPI 1205818358
Title
Owner
Phone
(978) 369-6064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

35 Robin Wood Rd
Concord, MA 01742-3914

Mailing address

35 Robin Wood Rd
Concord, MA 01742-3914
Phone (978) 369-6064

Other identifiers 1

IdentifierTypeStateIssuer
9780475MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760507420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ROBIN WOOD RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423914",
            "telephone_number": "978-369-6064",
            "fax_number": "978-369-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ROBIN WOOD RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423914",
            "telephone_number": "978-369-6064",
            "fax_number": "978-369-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKING MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKING",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "VAN B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-369-6064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9780475",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.