Wilton Rodwell Drake Jr. – General Practice Physician

Key facts

NPI: 1801941018
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Physician 208D00000X
License: 17950 (NC)
Practice address: 101 Hunt St
Oxford, NC 27565-3414
Phone: (919) 693-2141
Fax: (919) 693-8517
NPI assigned: Jan 25, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

County of Nash State or Local Public Health Clinic/Center · Nashville, NC · NPI 1497880033

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
County of Nash		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Physician	208D00000X	17950	NC	Yes

Addresses

Primary practice location

101 Hunt St
Oxford, NC 27565-3414

Mailing address

101 Hunt St
Oxford, NC 27565-3414
Phone (919) 693-2141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801941018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HUNT ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653414",
            "telephone_number": "919-693-2141",
            "fax_number": "919-693-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HUNT ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653414",
            "telephone_number": "919-693-2141",
            "fax_number": "919-693-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "WILTON",
        "middle_name": "RODWELL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "17950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

All providers in Oxford, NC · General Practice Physician in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.