Perry L Wilbur MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

C-7167 Issued in AR

Legal business name

PERRY L WILBUR MD PA

Practice address

505 Hospital Dr
Mountain Home, AR 72653-2912

Phone

(870) 424-3545

Fax

(870) 424-3546

NPI assigned

May 16, 2007

Last updated

Apr 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Perry L Wilbur, MD

Title

Owner

Phone

(870) 424-3545

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1831305556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532912",
            "telephone_number": "870-424-3545",
            "fax_number": "870-424-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532912",
            "telephone_number": "870-424-3545",
            "fax_number": "870-424-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY L WILBUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "WILBUR",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-424-3545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C-7167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115794001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.