NPIMap

Organization Active NPI

C. H. Wilkinson Physician Network

Doing business as Christus Medical Group Ashley Ridge

  • Gynecology Physician
  • Shreveport, LA
National Provider Identifier
1023212172
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
C. H. WILKINSON PHYSICIAN NETWORK
Doing business as
Christus Medical Group Ashley Ridge
Practice address
725 North Ashley Ridge
Suite 300
Shreveport, LA 71106
Phone
(318) 629-9630
NPI assigned
Jun 13, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Donna J Mikulecky
Title
Ceo President
Phone
(713) 277-2208

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Gynecology Physician 207VG0400X Primary

Addresses

Primary practice location

725 North Ashley Ridge
Suite 300
Shreveport, LA 71106

Mailing address

1700 West Loop S
Suite 400B
Houston, TX 77027-3005
Phone (713) 277-2200

Other names 1

  • Christus Medical Group Ashley Ridge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CH Wilkinson Physician32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

725 N Ashley Ridge Loop
Ste 300
Shreveport, LA 71106
Phone (318) 629-9630

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023212172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEST LOOP S",
            "address_2": "SUITE 400B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273005",
            "telephone_number": "713-277-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ASHLEY RIDGE",
            "address_2": "SUITE 300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-629-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. H. WILKINSON PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MIKULECKY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "713-277-2208"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christus Medical Group Ashley Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.