Clifton E Wilkerson, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

K2825 Issued in TX

Practice address

2850 Lewis LN
Suite 101
Paris, TX 75460-9378

Phone

(903) 784-0800

Fax

(903) 784-0866

NPI assigned

Jul 1, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Texas Medical School at San Antonio, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Clifton E Wilkerson and Dr R Walker Putnam PLLCGroup PAC ID 8527382688, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Clifton E Wilkerson & Dr R Walker Putnam PLLC

  • Obstetrics & Gynecology Physician
  • Paris, TX
  • NPI 1366848111
  Medicare reassignment Care Compare group NPD Authorized official
• Essent PRMC LP

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Essent PRMC LP

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1003813320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "SUITE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609378",
            "telephone_number": "903-784-0800",
            "fax_number": "903-784-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "SUITE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609378",
            "telephone_number": "903-784-0800",
            "fax_number": "903-784-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "CLIFTON",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2019-03-21",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K2825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton Dale Wicks, O.D.
• Katie Lynn Wicks, O.D.
• Wikoff Urology, P.a.
• Donald L Wikoff, M.D.
• Celeste Ann Wilcox, MD, PHD
• Ashley Nicole Williams, FNP
• Fred Andrew Williams, M.D.
• Miranda Danielle Williamson
• Zaw T Win
• Winnie-Stowell Hospital District

• Obstetrics & Gynecology Physician in Paris, TX
• Providers in Paris, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.