GAVIN RAY WILKS (NPI# 1992063879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992063879 |
| Entity Type | Individual |
| Full Name | GAVIN RAY WILKS |
| Credential | M.D. |
| Practice Address |
701 University Blvd E Ste 604 Tuscaloosa AL 35401-7411 |
| Mailing Address |
518 County Road 154 Crossville AL 35962-4217 |
| Practice Telephone | 2057596925 |
| Practice Fax Number | 2057596926 |
| Mailing Telephone | 2565720812 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 38426 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
701 UNIVERSITY BLVD E STE 604 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-7411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235147158 | Naresh Kumar | Surgery | 225 University Blvd E, Suite 303, Tuscaloosa, AL 35401 | 2006-08-04 |
| 1356371660 | Howard Joseph Falgout | Surgery | 1031 Fairfax Park, Tuscaloosa, AL 35406-2807 | 2006-07-03 |
| 1861422180 | Timothy Wayne Winkler | Surgery | 809 University Blvd East, Tuscaloosa, AL 35401-2029 | 2006-07-03 |
| 1629017736 | William Langley Pridgen | Surgery | 1837 Commons North Dr, Tuscaloosa, AL 35406-3700 | 2006-06-05 |
| 1164489399 | Ahmed Saleh Farah | Surgery | 1060 Fairfax Park, Ste B, Tuscaloosa, AL 35406 | 2006-05-01 |
| 1720088834 | Donald Charles Gross | Surgery | 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 | 2005-07-29 |
| 1316947641 | Lee Thomas | Surgery | 701 University Blvd. East, Suite 807, Tuscaloosa, AL 35401 | 2005-07-28 |
| 1669731188 | Tyler J. Eads | Surgery | 1031 Fairfax Park, Tuscaloosa, AL 35406-2807 | 2012-05-04 |
| 1437417086 | Capstone Surgical Associates, LLC | Surgery | 701 University Blvd E, Suite 602, Tuscaloosa, AL 35401-7406 | 2012-05-01 |
| 1700157823 | Naresh Kumar Md PC | Surgery | 225 University Blvd E, Ste 303, Tuscaloosa, AL 35401-7409 | 2012-01-20 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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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.