Wilton Rodwell Drake Jr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17950 Issued in NC

Practice address

101 Hunt St
Oxford, NC 27565-3414

Phone

(919) 693-2141

Fax

(919) 693-8517

NPI assigned

Jan 25, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Granville-Vance District Health Department

  dba Granville-Vance Home Health Agency

  • Home Health Agency
  • Henderson, NC
  • NPI 1275689242
  Authorized official Same address or phone
• County of Nash

  dba Nash County Health Department

  • State or Local Public Health Clinic/Center
  • Nashville, NC
  • NPI 1497880033
  NPD (past)

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

{
    "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": []
}

• Sara Stanley Dieter, PT, DPT
• DLP Maria Parham Physician Practices LLC (Maria Parham Women's Care)
• DLP Maria Parham Physician Practices LLC (Maria Parham Medical Oncology)
• Drake Frazier and McNeal, DDS, PA
• William Alexander Drake, DDS
• Sean William Duggan, DPT
• Duke University Affiliated Physicians, Inc. (Oxford Family Physicians)
• Tina Dunbar
• Bobby Eatmon
• Allison S Edwards, PA-C

• General Practice Physician in Oxford, NC
• Providers in Oxford, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.