NPIMap

Organization Active NPI

C H Wilkinson Physician Network

Doing business as CHRISTUS Medical Group

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1295987709
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
C H WILKINSON PHYSICIAN NETWORK
Doing business as
CHRISTUS Medical Group
Practice address
1736 W. Prien Lake Road
Lake Charles, LA 70601
Phone
(337) 478-5085
Fax
(337) 478-5086
NPI assigned
Oct 15, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1736 W. Prien Lake Road
Lake Charles, LA 70601

Mailing address

1736 W. Prien Lake Road
Lake Charles, LA 70601
Phone (337) 478-5085

Other names 1

  • CHRISTUS Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christus Medical GRP32 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

3311 Prescott Rd
Ste 210
Alexandria, LA 71301
Phone (318) 256-5722

3311 Prescott Rd
Ste 211
Alexandria, LA 71301
Phone (318) 445-3636

3704 North Blvd
Ste D
Alexandria, LA 71301
Phone (318) 528-3200

2539 Viking Dr
Bossier City, LA 71111
Phone (318) 741-2920

1611 Foster St
Lake Charles, LA 70601
Phone (337) 433-2783

1736 W Prien Lake Rd
Lake Charles, LA 70601
Phone (337) 478-5085

711 Doctor Michael Debakey Dr
Ste 10
Lake Charles, LA 70601

217 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 217-1000

1135 Expressway Dr
Ste 200A
Pineville, LA 71360
Phone (318) 561-0001

1453 E Bert Kouns Industrial Loop
#319
Shreveport, LA 71105

1453 E Bert Kouns Industrial Loop
Ste 317
Shreveport, LA 71105

1460 E Bert Kouns Industrial Loop
Ste 700
Shreveport, LA 71105
Phone (318) 424-3291

1534 Elizabeth Ave
Ste 302
Shreveport, LA 71101
Phone (318) 681-7960

1801 Fairfield Ave
Ste 304
Shreveport, LA 71101
Phone (318) 212-0412

9220 Ellerbe Rd
Ste 700
Shreveport, LA 71106
Phone (318) 681-5282

1415 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 861-9760

2606 Hospital Blvd
Bldg 4W
Corpus Christi, TX 78405

2606 Hospital Blvd
Fl W
Corpus Christi, TX 78405

2120 S Wayside Dr
Ste B
Houston, TX 77023
Phone (713) 803-1840

919 Hidden Rdg
Ste 1008
Irving, TX 75038
Phone (469) 282-2700

401 N Valley Pkwy
Ste 400
Lewisville, TX 75067
Phone (972) 434-0035

4640 9th Ave
Ste 100
Port Arthur, TX 77642
Phone (409) 982-6461

2602 Saint Michael Dr
Ste 201B
Texarkana, TX 75503
Phone (903) 614-5530

2604 Saint Michael Dr
Ste 425
Texarkana, TX 75503
Phone (903) 614-5600

Practitioners & affiliated clinicians

Practitioners 7

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": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1295987709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 W. PRIEN LAKE ROAD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-478-5085",
            "fax_number": "337-478-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 W. PRIEN LAKE ROAD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-478-5085",
            "fax_number": "337-478-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C H WILKINSON PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.