Active NPI
Louise Wilkinson, DO
- Emergency Medicine Physician
- Houston, MO
National Provider Identifier
1992743777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36687
- Practice address
- 1333 S Sam Houston Blvd
Houston, MO 65483-2046 - Phone
- (417) 967-3311
- Fax
- (417) 967-1259
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36687 | MO | Primary |
Addresses
Primary practice location
1333 S Sam Houston Blvd
Houston, MO 65483-2046
Mailing address
1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-3311
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992743777 | Medicaid | MO | |
| 242547016 | Medicaid | MO | |
| 26D0446923 | Other | MO | CLIA |
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Texas County Memorial Hospital | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Sullivan, MO
- NPI 1679598247
Emergency Medicine
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Multi-Specialty Clinic/Center
- Houston, MO
- NPI 1306885587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1992743777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 S SAM HOUSTON BLVD",
"city": "HOUSTON",
"state": "MO",
"postal_code": "654832046",
"telephone_number": "417-967-3311",
"fax_number": "417-967-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 S SAM HOUSTON BLVD",
"city": "HOUSTON",
"state": "MO",
"postal_code": "654832046",
"telephone_number": "417-967-3311",
"fax_number": "417-967-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "36687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992743777",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242547016",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "26D0446923",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.