MEDICARE: DR. JOHN THOMAS WILKINSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	312295	LA
2	207X00000X	Orthopaedic Surgery Physician	10785561-1205	UT

General Provider Information

NPI Number	:	1376886663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN THOMAS WILKINSON M.D.

Provider Business Mailing Address
First Line	:	8080 BLUEBONNET BLVD STE 1000
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-7827
Country	:	US
Telephone Number	:	225-924-2424
Fax Number	:	225-408-7980

Provider Business Practice Location Address
First Line	:	4920 CHURCH ST STE E
Second Line	:
City	:	ZACHARY
State	:	LA
Zip	:	70791-3580
Country	:	US
Telephone Number	:	225-658-1808
Fax Number	:	225-658-5922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	06/03/2026

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