NPIMap

Organization Active NPI

Wiley J Jinkins III MD PC

  • Orthopaedic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1841479862
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WILEY J JINKINS III MD PC
Practice address
2020 N Academy Blvd
Suite 155
Colorado Springs, CO 80909-1567
Phone
(719) 219-0914
NPI assigned
Oct 25, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Wiley J Jinkins III, M.D.NPI 1033287396
Title
Owner/Physician
Phone
(719) 219-0914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2020 N Academy Blvd
Suite 155
Colorado Springs, CO 80909-1567

Mailing address

2020 N Academy Blvd
Suite 155
Colorado Springs, CO 80909-1567
Phone (719) 219-0914

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1841479862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD",
            "address_2": "SUITE 155",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "719-219-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD",
            "address_2": "SUITE 155",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "719-219-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY J JINKINS III MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "JINKINS",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "719-219-0914",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

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