Active NPI
Nathaniel K Wilkin, MD
- Dermatology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 200501355
- Practice address
- 300 W Spring St Unit 1204
Columbus, OH 43215-7656 - Phone
- (614) 452-9800
- Fax
- (614) 448-2720
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 200501355 | NC | Primary |
Addresses
Primary practice location
300 W Spring St Unit 1204
Columbus, OH 43215-7656
Mailing address
PO Box 16297
Beverly Hills, CA 90209-2297
Phone (661) 947-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H88905 | Other | OH | UPIN |
| 5901558 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501355 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Central Ohio Skin & Cancer Inc | Dermatology | Past | Accepting new patients |
| Central Ohio Skin & Cancer Inc | Dermatology | Past | Accepting new patients |
Locations
1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695
1524 W Lacey Blvd
Ste 206
Hanford, CA 93230
Phone (559) 583-4507
1142 Rose Ave
Ste A
Selma, CA 93662
Phone (559) 779-9222
1041 Rose Ave
Selma, CA 93662
Phone (559) 856-6090
1142 Rose Ave
Ste C
Selma, CA 93662
Phone (559) 856-6165
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1790895415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16297",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902092297",
"telephone_number": "661-947-9000",
"fax_number": "310-446-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W SPRING ST UNIT 1204",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157656",
"telephone_number": "614-452-9800",
"fax_number": "614-448-2720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKIN",
"first_name": "NATHANIEL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "200501355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "H88905",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901558",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.