Active NPI
Wiltin Surgical Services, PLLC
- Surgical Physician Assistant
- Dallas, TX
National Provider Identifier
1821597154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- WILTIN SURGICAL SERVICES, PLLC
- Practice address
- 7777 Forest LN
Dallas, TX 75230-2571 - Phone
- (972) 566-7000
- NPI assigned
- Feb 1, 2018
- 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
- Karen L Wiltin, PA-C
- Title
- Ceo
- Phone
- (303) 330-8994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
7777 Forest LN
Dallas, TX 75230-2571
Mailing address
1903 Lorraine Ave
Allen, TX 75002-2619
Other practice location 1
7601 Preston Rd
Plano, TX 75024-3214
Phone (469) 303-7000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1821597154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 LORRAINE AVE",
"city": "ALLEN",
"state": "TX",
"postal_code": "750022619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-566-7000"
}
],
"practiceLocations": [
{
"address_1": "7601 Preston Rd",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750243214",
"country_code": "US",
"telephone_number": "469-303-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WILTIN SURGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-01",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "WILTIN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "303-330-8994",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.