WILKENS MEDICAL GROUP INC. (NPI# 1114079316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114079316 |
| Entity Type | Organization |
| Organization Name | WILKENS MEDICAL GROUP INC. |
| Practice Address |
131 Hospital Ln Jellico TN 37762-4404 |
| Mailing Address |
Po Box 28 Jellico TN 37762-0028 |
| Practice Telephone | 4237847269 |
| Practice Fax Number | 4237843708 |
| Mailing Telephone | 4237847269 |
| Mailing Fax Number | 4237843708 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | DEBRA J SHARP (ADMINISTRATION) |
| Authorized Official Telephone | 4237843667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3717798 | 05 | |
| KY | 65938771 | 05 |
| Street Address |
131 HOSPITAL LN |
| City | JELLICO |
| State | TN |
| Zip Code | 37762-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821193525 | Joseph R. Reed | Physician Assistant | 131 Hospital Ln, Jellico, TN 37762-4404 | 2006-09-14 |
| 1053775973 | Karen Nicole Eldridge | Nurse Practitioner | 131 Hospital Ln, Jellico, TN 37762-4404 | 2016-04-06 |
| 1972930204 | Heather Mae Demaree | Physician Assistant | 131 Hospital Ln, Jellico, TN 37762-4404 | 2013-10-01 |
| 1992841233 | Charles H. Wilkens, M.d.,p.c. | Clinic/Center | 131 Hospital Ln, Jellico, TN 37762-4404 | 2007-01-30 |
| 1649369141 | Kenneth J Reed | Physician Assistant | 131 Hospital Ln, Jellico, TN 37762-4404 | 2006-10-12 |
| 1679678429 | Darryl John Wilkens | Family Medicine | 131 Hospital Ln, Jellico, TN 37762-4404 | 2006-09-14 |
| 1164527842 | Ronald Dennis Hartman | Family Medicine | 131 Hospital Ln, Jellico, TN 37762-4404 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992600 | Springs of Life | Psychologist | 185 Baker Street, Jellico, TN 37762 | 2018-08-14 |
| 1679666366 | Charles Henry Wilkens | Family Medicine | 131 Hospital Lane, Jellico, TN 37762 | 2006-10-02 |
| 1225096217 | Benjamin Wayne D'ooge | Emergency Medicine | 188 Hospital Lane, Jellico, TN 37762 | 2006-05-02 |
| 1770790065 | Dayspring Health Inc | Physician Assistant | 107 S Main St, Jellico, TN 37762 | 2007-05-17 |
| 1790856102 | Charles R Hayes | Nurse Anesthetist, Certified Registered | 188 Hospital Ln, Jellico, TN 37762 | 2006-11-10 |
| 1023022084 | Dayspring Health Inc | Obstetrics & Gynecology | 550 Sunset Trl, Jellico, TN 37762 | 2006-07-27 |
| 1174691315 | Family Drug Center Inc | Durable Medical Equipment & Medical Supplies | 248 S Main St, Jellico, TN 37762-2017 | 2006-12-04 |
| 1114442175 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 248 S Main St, Jellico, TN 37762-2017 | 2017-08-10 |
| 1598211401 | Jonathan Broyles | Pharmacist | 248 S Main St, Jellico, TN 37762-2017 | 2016-08-30 |
| 1184008005 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 248 S Main St, Jellico, TN 37762-2017 | 2015-07-10 |
| Find all providers in zip 37762 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649442237 | Bishofberger Medical Associates of East Tennessee | Surgery | 188 Hospital Ln, Jellico, TN 37762-4400 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855604 | East Tennessee Children's Hospital Association, Inc. | Surgery | 207 E Emory Rd, Powell, TN 37849-4047 | 2019-11-07 |
| 1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
| 1659835692 | Michael H. Schatzlein | Surgery | 1435 Tyne Blvd, Nashville, TN 37215-4425 | 2019-01-23 |
| 1205309382 | Md Webber PC | Surgery | 10810 Parkside Dr Ste 310, Knoxville, TN 37934-1986 | 2019-01-10 |
| 1699256040 | Amarnath Kadimella | Surgery | 1211 Union Ave Ste 340, Memphis, TN 38104-6663 | 2018-08-23 |
| 1043739287 | Sumner Physician Practices LLC | Surgery | 133 Hospital Dr Ste 700, Carthage, TN 37030-4010 | 2017-09-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1275064057 | Surgical Services of America, PC | Surgery | 103 Forrest Crossing Blvd Ste 204, Franklin, TN 37064-5453 | 2017-03-23 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.