Gerald W Wilmes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R1J97 Issued in MO

Practice address

800 University Dr
Maryville, MO 64468-6015

Phone

(660) 562-1348

Fax

(660) 562-1857

NPI assigned

Nov 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1902973621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 UNIVERSITY DRIVE",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "64468",
            "telephone_number": "660-562-1348",
            "fax_number": "660-562-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 UNIVERSITY DR",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644686015",
            "telephone_number": "660-562-1348",
            "fax_number": "660-562-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMES",
        "first_name": "GERALD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R1J97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203109921",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wasif Almuttar,MD,Anes.SVC.,P.C.
• Riley Dale Watkins, ATC, LAT
• Susan Jane Watson, MD
• Myra Webster, COTA
• Kristi Renee White, L.C.S.W.
• Hayston W Wilson
• Leslie Alitz Wittmann, OD
• Logan Michael Wood, ATC, LAT
• Michael J Wurm, MD
• Erin Elizabeth York, ATC, LAT

• Family Medicine Physician in Maryville, MO
• Providers in Maryville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.