DR. RICKY DUANE WILKERSON (NPI# 1528061264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528061264 |
| Entity Type | Individual |
| Full Name | DR. RICKY DUANE WILKERSON |
| Credential | D.O. |
| Practice Address |
901 Montgomery St Decorah IA 52101 |
| Mailing Address |
901 Montgomery St Decorah IA 52101-2325 |
| Practice Telephone | 5633822911 |
| Mailing Telephone | 5633822911 |
| Mailing Fax Number | 5633824143 |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 66249 | MN | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | DO-02193 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 | |
| 901 Montgomery St, Decorah, IA 521012325 | 5633822911 |
| Street Address |
901 MONTGOMERY ST |
| City | DECORAH |
| State | IA |
| Zip Code | 52101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950569 | Glenn Ray Johnson | Orthopaedic Surgery | 901 Montgomery St, Decorah, IA 52101-2325 | 2005-05-23 |
| 1992311708 | Colleen Clement | Pharmacist | 901 Montgomery St, Decorah, IA 52101-2325 | 2020-09-17 |
| 1780221986 | Christina A Schultz | Physical Therapist | 901 Montgomery St, Decorah, IA 52101-2325 | 2019-12-06 |
| 1336786532 | Chelsey Bohr | Physical Therapist | 901 Montgomery St, Decorah, IA 52101-2325 | 2019-12-06 |
| 1215572268 | Heather Kay Levinson | Nurse Practitioner | 901 Montgomery St, Decorah, IA 52101-2325 | 2019-11-14 |
| 1295380400 | Jennifer Marie Becker | Family Medicine | 901 Montgomery St, Decorah, IA 52101-2325 | 2019-08-05 |
| 1154802601 | Jason Engelken | Physical Therapist | 901 Montgomery St, Decorah, IA 52101-2325 | 2018-08-23 |
| 1649763889 | Tiffany R Zweibohmer | Registered Nurse | 901 Montgomery St, Decorah, IA 52101-2325 | 2018-06-12 |
| 1891211967 | Carol Ludeking | Nurse Practitioner | 901 Montgomery St, Decorah, IA 52101-2325 | 2017-08-20 |
| 1700316254 | Miranda Lynn Hayek | Occupational Therapist | 901 Montgomery St, Decorah, IA 52101-2325 | 2017-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757911 | Andrew W Fritz | Specialist/Technologist | 700 College Drive, Regents Center, Decorah, IA 52101 | 2019-02-26 |
| 1265846935 | Amber Lynn Mccarville | Dentist | 501 Sanford, Decorah, IA 52101 | 2014-06-20 |
| 1669893988 | Winneshiek Medical Center | Clinic/Center | 112 East Main St., Ossian, IA 52101 | 2014-01-06 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1487721809 | Mary Christine Atkinson | Counselor | 1111 Paine Street, Decorah, IA 52101 | 2006-11-29 |
| 1578632220 | Kirsten Ann Ludwig | Counselor | 1111 Paine St, Decorah, IA 52101 | 2006-11-07 |
| 1760585350 | Dental Associates of Decorah PC | Dentist | 501 Sanford St, Decorah, IA 52101 | 2006-09-07 |
| 1780634196 | Theresa K Fullhart | Social Worker | 905 Montgomery Street, Decorah, IA 52101 | 2006-05-10 |
| 1487620688 | Mayo Clinic Hospital-rochester | Clinic/Center | 901 Montgomery Street, Decorah, IA 52101 | 2006-02-27 |
| 1932588100 | Elizabeth L Abbas | Family Medicine | 1830 State Highway 9, Decorah, IA 52101 | 2015-05-21 |
| Find all providers in zip 52101 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950569 | Glenn Ray Johnson | Orthopaedic Surgery | 901 Montgomery St, Decorah, IA 52101-2325 | 2005-05-23 |
| 1295796795 | Bruce W Wulfsberg | Orthopaedic Surgery | 901 Montgomery St, Decorah, IA 52101-2325 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740660802 | Mercy Medical Center - Newton | Orthopaedic Surgery | 300 N 4th Ave E Ste C, Newton, IA 50208-3155 | 2015-06-04 |
| 1891057550 | Cnos, PC | Orthopaedic Surgery | 2735 Outer Drive N, Sioux City, IA 51104-1590 | 2012-06-08 |
| 1568730323 | Jonathan D Winston | Orthopaedic Surgery | 2300 53rd Ave Ste 100, Bettendorf, IA 52722-7565 | 2011-12-08 |
| 1770874034 | Megan Crosmer | Orthopaedic Surgery | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2011-04-21 |
| 1457672719 | Paul Butler | Orthopaedic Surgery | 350 Ne 36th St Ste 213, Ankeny, IA 50021-6728 | 2010-06-21 |
| 1164690574 | Md West One, PC | Orthopaedic Surgery | 201 Ridge St Ste 311, Council Bluffs, IA 51503-4643 | 2008-02-19 |
| 1487849527 | Joseph Albert Brunkhorst IIi | Orthopaedic Surgery | 350 Ne 36th St, Ankeny, IA 50021-6728 | 2007-09-12 |
| 1942409172 | David S. Tearse M.d., LLC | Orthopaedic Surgery | 112 14th St Se, Cedar Rapids, IA 52403-4025 | 2007-07-17 |
| 1134334006 | Jason Stanford | Orthopaedic Surgery | 516 Division St Ste 125, Cedar Falls, IA 50613-2380 | 2007-05-13 |
| 1982756284 | The Grinnell Institute for Bone Health | Orthopaedic Surgery | 810 Commercial St., Grinnell, IA 50112 | 2007-01-17 |
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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.