NPIMap

Organization Active NPI

Wha P.K.a. Wilkerson OBGYN

  • Ph.D. Medical Genetics
  • Raleigh, NC
National Provider Identifier
1851706543
Registry record updated Jun 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
2014-00898 Issued in NC
Legal business name
WHA P.K.A. WILKERSON OBGYN
Practice address
4414 Lake Boone TRL
Suite 210
Raleigh, NC 27607-7513
Phone
(919) 571-1040
Fax
(919) 781-0247
NPI assigned
Jun 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2014

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

Authorized official

Name
Susan P Coker
Title
Office Manager
Phone
(919) 571-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X 2014-00898 NC Primary

Addresses

Primary practice location

4414 Lake Boone TRL
Suite 210
Raleigh, NC 27607-7513

Mailing address

4414 Lake Boone TRL
Suite 210
Raleigh, NC 27607-7513
Phone (919) 571-1040

National Provider Directory

National Provider Directory
Tax ID family
Biltmore OBGYN63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

4414 Lake Boone Trl
Ste 210
Raleigh, NC 27607
Phone (919) 571-1040

NPI Registry JSON

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

{
    "created_epoch": "1403395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403395200000",
    "number": "1851706543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-571-1040",
            "fax_number": "919-781-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-571-1040",
            "fax_number": "919-781-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHA P.K.A. WILKERSON OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-22",
        "last_updated": "2014-06-22",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-571-1040"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NC",
            "license": "2014-00898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.