Organization Active NPI

Doctors PLLC

  • General Practice Physician
  • Radcliff, KY
National Provider Identifier
1174675763
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
02481 Issued in KY
Legal business name
DOCTORS PLLC
Practice address
111 N Woodland Drive
Radcliff, KY 40160
Phone
(270) 351-6036
Fax
(270) 351-6042
NPI assigned
Jan 17, 2007
Last updated
Jan 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Dr. Hariklia Alexatos Wilk, MDNPI 1548229594
Title
Owner
Phone
(270) 351-6036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 32654 KY
General Practice Physician 208D00000X 02481 KY Primary

Addresses

Primary practice location

111 N Woodland Drive
Radcliff, KY 40160

Mailing address

111 N Woodland Drive
Radcliff, KY 40160
Phone (270) 351-6036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100421000407 KY Part B Supplier - Clinic/Group Practice 1355328824 Receives reassigned benefits from 1 practitioner
Practice locations: Radcliff, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0924241Doctors, PLLC111 North Woodland Drive, Radcliff, KY 40160Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1174675763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WOODLAND DRIVE",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "40160",
            "telephone_number": "270-351-6036",
            "fax_number": "270-351-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WOODLAND DRIVE",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "40160",
            "telephone_number": "270-351-6036",
            "fax_number": "270-351-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "ALEXATOS WILK",
        "authorized_official_first_name": "HARIKLIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-351-6036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "32654",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "02481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.