Dr. Ricky Duane Wilkerson
Orthopaedic Surgery

Address: 1200 1st Ave E, Ste C, Spencer, IA 51301-4342
Phone: 7122627511

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).

Provider Overview

Nation Provider Identifier (NPI) 1528061264
Entity Type Individual
Full Name Dr. Ricky Duane Wilkerson
Credential D.O.
Gender Male
Practice Address 1200 1st Ave E
Ste C
Spencer
IA 51301-4342
Practice Telephone 7122627511
Practice Fax Number 7122623658
Mailing Address 1200 1st Ave E Ste C
Spencer
IA 51301-4342
Mailing Telephone 7122627511
Mailing Fax Number 7122623658
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-05-26
Last Update Date 2007-08-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians 02193 IA

Other Provider Identifier

State Identifier Issuer Type Code
IA 0053397 MEDICAID

Physician Overview

NPI 1528061264
PAC ID by PECOS 4587690847
Professional Enrollment ID I20050709000046
Full Name Ricky D Wilkerson
Organization Legal Name NWIA BONE, JOINT AND SPORTS SURGEONS, PC
Phone Number 7122138050
Gender M
Credential MD
Medical School UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE
Graduation Year 1980
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialties SPORTS MEDICINE
Group Practice PAC ID 2769371673
Number of Group Practice Members 14
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
160112 SPENCER MUNICIPAL HOSPITAL
161375 BUENA VISTA REGIONAL MEDICAL CENTER
161300 BAUM HARMON MERCY HOSPITAL
161353 KOSSUTH REGIONAL HEALTH CENTER
160124 LAKES REGIONAL HEALTHCARE

Office Location

Street Address 1200 1ST AVE E
STE C
City SPENCER
State IA
Zip Code 51301-4342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720081524 Midwest Radiology and Imaging PC Clinic/Center 1200 1st Ave E, Spencer, IA 51301-4342 2005-05-24
1780142372 Keith E Begeman Nurse Anesthetist, Certified Registered 1200 1st Ave E, Spencer, IA 51301-4342 2019-03-04
1316432826 Spencer Municipal Hospital Orthopaedic Surgery 1200 1st Ave E, Spencer, IA 51301-4330 2018-06-27
1700383171 John Sherrill Student in an Organized Health Care Education/Training Program 1200 1st Ave E, Spencer, IA 51301-4342 2018-04-11
1528579141 Spencer Municipal Hospital Nurse Practitioner 1200 1st Ave E, Spencer, IA 51301-4342 2017-10-23
1982113163 Spencer Municipal Hospital Non-Pharmacy Dispensing Site 1200 1st Ave E, Spencer, IA 51301-4342 2017-09-20
1548782964 Laura Ann Armstrong Hospitalist 1200 1st Ave E, Spencer, IA 51301-4330 2017-07-07
1154860591 Tessa Rockwell Physical Therapist 1200 1st Ave E, Spencer, IA 51301-4330 2017-02-17
1790235026 Kelly Jean Mills Physical Therapist 1200 1st Ave E, Ste C, Spencer, IA 51301-4342 2016-10-11
1194270470 Jennifer Marie Coates Occupational Therapist 1200 1st Ave E, Spencer, IA 51301-4330 2016-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508331877 Angie Marie Wigen Occupational Therapy Assistant 1202 11 Th Ave Se, Spencer, IA 51301 2018-10-12
1225528607 Michelle Banks Counselor 1900 Grand Ave No, Ste A, Spencer, IA 51301 2018-05-11
1184040511 Leisha Fischer Nurse Practitioner 116 East 7th Street, Suite 2, Spencer, IA 51301 2014-03-10
1427482199 Mark Alan De Ruyter Social Worker 116 E. 11th St., Spencer, IA 51301 2013-08-29
1730437542 Spencer Convenient Healthcare LLC Clinic/Center 116 E. 7th Street, Suite 2, Spencer, IA 51301 2012-08-28
1114065109 David W Lawrence Audiologist-Hearing Aid Fitter 920 North Grand Ave., Spencer, IA 51301 2007-02-02
1548328925 Burns Chiropractic Center P C Chiropractor 1210 West 18th St, Spencer, IA 51301 2006-12-05
1073692661 Gary Vanhofwegen Dentist 18 West 4th St, Spencer, IA 51301 2006-11-03
1952494114 Medicap Pharmacy Pharmacy 829 Grand Ave N, Spencer, IA 51301 2006-10-02
1326131012 Douglas J Schwartz Chiropractor 1204 West 18th St, Spencer, IA 51301 2006-10-02
Find all providers in zip 51301

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760599450 Alexander Pruitt Orthopaedic Surgery 20 W 6th St, Spencer, IA 51301-3901 2006-08-25
1316432826 Spencer Municipal Hospital Orthopaedic Surgery 1200 1st Ave E, Spencer, IA 51301-4330 2018-06-27
1326327149 Yogesh Vinod Kolwadkar Orthopaedic Surgery 20 W 6th St, Suite 1, Spencer, IA 51301-3901 2011-08-10
1306144464 Andrew Glen Pick Orthopaedic Surgery 1200 1st Ave E, Ste C, Spencer, IA 51301-4342 2011-03-14
1538398276 Iowa Lakes Orthopaedics, PC Orthopaedic Surgery 1200 1st Ave E, Suite C, Spencer, IA 51301-4342 2009-07-02
1912173741 Christopher James Rierson Orthopaedic Surgery 1200 1st Ave E, Ste C, Spencer, IA 51301-4342 2008-05-01
1477639235 Orthopaedics, PC Orthopaedic Surgery 20 W 6th St, Spencer, IA 51301-3901 2006-10-27
1831155126 Jason Carter Hough Orthopaedic Surgery 1200 1st Ave E, Spencer, IA 51301-4342 2006-04-25
1508869413 John William Follows Jr. Orthopaedic Surgery 1200 1st Ave E, Ste C, Spencer, IA 51301-4342 2005-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1831483536 Shane Cook Orthopaedic Surgery 1301 Pennsylvania Ave Ste 213, Des Moines, IA 50316-2365 2011-05-31
1144457474 Mark J Isaacson Orthopaedic Surgery 350 Ne 36th St, Ankeny, IA 50021-6728 2009-06-13
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
1780776864 Ronald R Reschly Md, PC Orthopaedic Surgery 407 S White St Ste 101, Mt Pleasant, IA 52641-2262 2006-09-28
1528162732 Duane Kent Nelson Orthopaedic Surgery 2800 Peirce St, Suite 101, Sioux City, IA 51104 2006-09-08
1982712469 Jeffrey Lee Ralston Orthopaedic Surgery 202 10th St Se Ste 140, Cedar Rapids, IA 52403-2432 2006-08-26
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Competitor

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City SPENCER
Zip Code 51301

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Dataset Information

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.

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