Active NPI
Harold S Wilkes, M.D.
- Cardiovascular Disease Physician
- Wallingford, CT
National Provider Identifier
1912936246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 023551
- Practice address
- 97 Barnes Rd
Wallingford, CT 06492-1885 - Phone
- (203) 284-3137
- Fax
- (203) 284-3130
- NPI assigned
- Jun 30, 2006
- Last updated
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 023551 | CT | Primary |
Addresses
Primary practice location
97 Barnes Rd
Wallingford, CT 06492-1885
Mailing address
97 Barnes Rd
Wallingford, CT 06492-1885
Phone (203) 284-3137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235514 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023551 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Farmington, CT
- NPI 1720194053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1912936246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 BARNES RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921885",
"telephone_number": "203-284-3137",
"fax_number": "203-284-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 BARNES RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921885",
"telephone_number": "203-284-3137",
"fax_number": "203-284-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKES",
"first_name": "HAROLD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "023551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235514",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.