DR. MATTHEW HARRY LEE WILKERSON (NPI# 1134566946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134566946 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW HARRY LEE WILKERSON |
| Credential | M.D. |
| Practice Address |
800 E Dawson St Tyler TX 75701 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9036065864 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | R4649 | TX | Allopathic & Osteopathic Physicians |
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
R4649 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 820877 | 01 |
| TX | 387308503 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5323 Harry Hines Blvd, Dallas, TX 753907201 | 2146483111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284234 | Matthew Jared Wilkerson | Registered Nurse | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2017-09-13 |
| Street Address |
800 E DAWSON ST |
| City | TYLER |
| State | TX |
| Zip Code | 75701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051705 | Mohammad K Khedr | Internal Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2005-05-31 |
| 1174130462 | Jessica Lemoine Phillips | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-30 |
| 1275148116 | Erika Anne Heffner | Pharmacist | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-08 |
| 1750995684 | Christine Vo | Pharmacist | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-08 |
| 1366051526 | Bessie Burchfield | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-07-23 |
| 1952929366 | Amy Elizabeth Enlow | Registered Nurse | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-07-13 |
| 1033739388 | Eric Bradley Vogt | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-04-16 |
| 1780212084 | Carolyn Victoria Hamilton | Registered Nurse | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-03-31 |
| 1548800022 | Jasmine Azghani Vardeman | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-01-13 |
| 1346889383 | Kathy A Glem | Pharmacist | 800 E Dawson St, Tyler, TX 75701-2036 | 2019-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891240552 | Alaric II | Anesthesiology | 3333 Allen Pkwy, Suite 1403, Houston, TX 77019-1854 | 2016-08-23 |
| 1700279965 | Biman Das | Anesthesiology | 2338 Maroneal St, Houston, TX 77030-3218 | 2015-03-12 |
| 1588075667 | Srikar Jonna | Anesthesiology | 6431 Fannin St # 5.020, Houston, TX 77030-1501 | 2014-05-12 |
| 1568773547 | Deepinder Mann | Anesthesiology | Anesthesiology Route 0877, 301 University Blvd, Galveston, TX 77555-0877 | 2010-06-24 |
| 1174720437 | Javier Jorge Lasa | Anesthesiology | 6622 Fannin St, West Tower, W6006, Houston, TX 77030-2300 | 2007-06-29 |
| 1912979733 | Adetola Talabi | Anesthesiology | 6112 Grand Blvd, Houston, TX 77021-1177 | 2006-02-06 |
| 1740250679 | Joseph Peter Michael Byrnes | Anesthesiology | 59mdw/mcoa Anesthesiology, 2200 Berquist Drive, Suite 1, San Antonio, TX 78236-5300 | 2006-01-24 |
| 1467063016 | Robert Harold Brinkley Jr. | Anesthesiology | 3005 S Lamar Blvd, Austin, TX 78704-8864 | 2020-08-16 |
| 1497224356 | U.S. Intensivist Partners | Anesthesiology | 605 Holderrieth Blvd, Tomball, TX 77375-6445 | 2018-11-20 |
| 1801374756 | Connie Lynn Arrington | Anesthesiology | 6720 Bertner Ave Ste O-520, Houston, TX 77030-2604 | 2018-08-02 |
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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.