DR. WALLACE G WILKERSON MD
NPI 1508852542
Obstetrics & Gynecology in Tampa, FL

Q: What is Wallace Wilkerson's NPI number?

The NPI number for Wallace Wilkerson is 1508852542. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Wallace Wilkerson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Wallace Wilkerson was last updated on July 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2005

5840 W CYPRESS ST, B, TAMPA, FL 33607(813) 286-0033(813) 282-1806 Get Directions Write a Review

NPPES record last updated: July 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Wallace G Wilkerson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALLACE G WILKERSON MD (NPI 1508852542) is an individual obstetrics & gynecology provider in Tampa, Florida, licensed in Florida (ME0039668) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1508852542

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. WALLACE G WILKERSONCredential: MD

Location Address5840 W CYPRESS ST, BTampa, FL 33607-7004

Mailing Address5840 W Cypress St, BTampa, FL 33607-7004 · (813) 286-0033 · Fax (813) 282-1806

Phone(813) 286-0033

Fax(813) 282-1806

Sole ProprietorNo

Enumeration DateSeptember 26, 2005

Last NPPES UpdateJuly 12, 2013

✔ NPI 1508852542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME0039668

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5840 W CYPRESS ST, Tampa, FL 33607

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Other Identifiers 3

Medicare ID-Type Unspecified30752ZFL

Medicare UPIND21477FL

MedicaidO66635100FL

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE GOLDING MD

Nurse Practitioner (Obstetrics & Gynecology)