John David Wilkes
Hematology & Oncology
400 Medical Plz Suite 100
Lake St Louis
, Missouri 63367-1490
John David Wilkes
Hematology & Oncology
400 Medical Plz Suite 100
Lake St Louis
, Missouri 63367-1490
(636) 327-1222
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- John David Wilkes
- 500 Medical Drive
- Wentzville, MO
- Zip : 63385
- Fax : (636) 327-1222
- Phone : (636) 327-1202
Second Address
- John David Wilkes
- 400 Medical Plz Suite 100
- Lake St Louis, MO
- Zip : 63367-1490
- Fax : (636) 639-8676
- Phone : (636) 639-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | R7J99 | MO |
National Provider Identifier
| NPI | 1023071347 |
|---|---|
| Provider Name | John David Wilkes |
| First Address | Wentzville, MO 63385 |
| Second Address | Lake St Louis, MO 63367-1490 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2006 |
| Last Update Date | 10/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 208002113 | (05) | MO |
| 273988 | HEALTHLINK (01) | |
| 3609028 | UHC (01) | |
| 4676254 | AETNA (01) | |
| 57015 | GHP (01) | |
| 6198 | BC (01) | |
| 6198 | BCBS (01) | MI |
| 900002001 | RR MEDICARE (01) | |
| G06615 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.