1437486925 NPI number — COLUMBUS MEDICAL SERVICES

Table of content: DR. EMMA LYNN WILKINSON DDS (NPI 1992692180)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437486925 NPI number — COLUMBUS MEDICAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLUMBUS MEDICAL SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437486925
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3501 SEVERN AVE
Provider Second Line Business Mailing Address:
SUITE 22
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70002-3451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-695-7325
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3501 SEVERN AVE
Provider Second Line Business Practice Location Address:
SUITE 22
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70002-3451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-695-7325
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
O'CONNOR
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE VICE PRESIDENT
Authorized Official Telephone Number:
800-229-5116

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)