DR. MICHAEL WILKES (NPI# 1194040063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194040063 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILKES |
| Credential | M.D. |
| Practice Address |
1 Shields Ave Davis CA 95616-5270 |
| Practice Telephone | 5307520321 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
G064098 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BW0612994 | 01 | |
| CA | STATE MEDICAL LICENSE | G064098 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649766536 | Michael Wilkes | Counselor | 750 N Freedom Blvd, Provo, UT 84601 | 2018-07-03 |
| 1750740312 | Michael Wilkes | Counselor | 3330 Claystone St Se, Grand Rapids, MI 49546-7738 | 2016-02-11 |
| 1639380413 | Michael Wilkes | Physical Therapist | 1740 Weir Dr, Woodbury, MN 55125-2282 | 2007-05-24 |
| Street Address |
1 SHIELDS AVE |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356322903 | Aimee Sisson | Student in an Organized Health Care Education/Training Program | 1 Shields Ave, Uc Davis Master of Public Health Program, Davis, CA 95616-5270 | 2005-11-10 |
| 1811597941 | Anna Pavlov | Registered Nurse | 1 Shields Ave, Davis, CA 95616-5270 | 2020-10-28 |
| 1811548779 | Sarah Schmitt | Dietitian, Registered | 1 Shields Ave, Davis, CA 95616-5270 | 2019-09-23 |
| 1619526373 | Vida Khaliki | Physician Assistant | 1 Shields Ave, Davis, CA 95616-5200 | 2019-09-05 |
| 1912496563 | Lisa Kay Varnum | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5200 | 2018-05-08 |
| 1730682022 | Sean Carrington | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616 | 2018-03-13 |
| 1720502701 | Torie Johnson | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5270 | 2017-08-01 |
| 1073044350 | Uc Davis Student Health and Counseling Services | Clinic/Center | 1 Shields Ave, Shcs, Davis, CA 95616-5270 | 2017-03-27 |
| 1992247092 | Lauren Eichstadt | Pharmacist | 1 Shields Ave, Davis, CA 95616-5270 | 2016-11-07 |
| 1467906222 | Duane Robinson | Specialist | 1 Shields Ave, School of Vet Med, Uc Davis, Davis, CA 95616-5270 | 2016-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528156858 | Sean Canary Kennedy | Internal Medicine | 1 Shields Ave, Cowell Health Center, Davis, CA 95616 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396115853 | Cedars Primary Care Apmc | Internal Medicine | 18370 Burbank Blvd Ste 201, Tarzana, CA 91356-2853 | 2015-09-28 |
| 1669886933 | Marius Viseroi | Internal Medicine | 3231 Waring Ct Ste D, Oceanside, CA 92056-4510 | 2014-06-16 |
| 1730314378 | Lofty L Basta | Internal Medicine | 765 Market St Apt 35a, San Francisco, CA 94103-2041 | 2009-05-27 |
| 1659534766 | Goodfaith Family Medical Clinic | Internal Medicine | 7540 Garvey Ave Ste C, Rosemead, CA 91770-2960 | 2008-07-08 |
| 1710109509 | Joshua A Jacobi | Internal Medicine | 301 S Fair Oaks Ave Ste 404, Pasadena, CA 91105-2562 | 2007-05-03 |
| 1972624955 | Innovative Medical Solutions Inc A Medical Group | Internal Medicine | 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402-4683 | 2007-04-03 |
| 1326101445 | Karen K.w. Kakishiba, M.d. Inc. | Internal Medicine | 810 Richland Rd, Yuba City, CA 95991-6200 | 2006-12-19 |
| 1518030543 | Lisa Law | Internal Medicine | 728 Pacific Ave Ste 302, San Francisco, CA 94133-4489 | 2006-11-16 |
| 1497844864 | Shigeki Fujitani | Internal Medicine | 6170 Canterbury Dr, Apt 222, Culver City, CA 90230-7929 | 2006-10-12 |
| 1982791562 | Rafayel Gevorkian | Internal Medicine | 5129 W Sunset Blvd, Los Angeles, CA 90027-5715 | 2006-10-06 |
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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.