NPIMap

Organization Active NPI

Ian G Wilkofsky Mdpa

  • Orthopaedic Surgery Physician
  • Flower Mound, TX
National Provider Identifier
1144611187
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
P5905 Issued in TX
Legal business name
IAN G WILKOFSKY MDPA
Practice address
5000 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-2783
Phone
(972) 420-1776
Fax
(214) 222-6671
NPI assigned
Feb 12, 2015
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Ian G Wilkofsky, MDNPI 1942464235
Title
Owner
Phone
(972) 420-1776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X P5905 TX Primary

Addresses

Primary practice location

5000 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-2783

Mailing address

5000 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-2783
Phone (972) 420-1776

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://orthopedicassociates.org/

National Provider Directory

National Provider Directory

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": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1144611187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LONG PRAIRIE RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282783",
            "telephone_number": "972-420-1776",
            "fax_number": "214-222-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LONG PRAIRIE RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282783",
            "telephone_number": "972-420-1776",
            "fax_number": "214-222-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN G WILKOFSKY MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "WILKOFSKY",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-420-1776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://orthopedicassociates.org/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "5000 Long Prairie Rd Ste 100",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750282783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.