C H Wilkinson Physician Network

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

C H WILKINSON PHYSICIAN NETWORK

Doing business as

Christus Medical Group

Practice address

1381 S Main Street
Boerne, TX 78006-2846

Phone

(830) 249-9424

Fax

(830) 249-9426

NPI assigned

Nov 6, 2008

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• CHRISTUS MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947

  O20041203000584

  Same enrollment
• C H Wilkinson Physician Network

  dba Christus Medical Group

  • Nurse Practitioner
  • Richmond, TX
  • NPI 1609029545

  O20041203000584

  Same enrollment
• C.H. Wilkinson Physician Network

  dba Christus Convenient Clinic

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1215127667

  O20041203000584

  Same enrollment
• CH Wilkinson Physician Network

  dba CHRISTUS Medical Group

  • Orthopaedic Trauma Physician
  • Corpus Christi, TX
  • NPI 1942356043

  O20041203000584

  Same enrollment

Locations

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1326292145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEST LOOP SOUTH",
            "address_2": "SUITE 400B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273005",
            "telephone_number": "713-277-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 S MAIN STREET",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062846",
            "telephone_number": "830-249-9424",
            "fax_number": "830-249-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C H WILKINSON PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2009-02-24",
        "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": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Burton, RBT
• Patricia Burton
• Jeffrey L Butts, D.O.
• Mary Buzzetta, PH.D.
• Courtney Nicole Bynum
• Heather Ottmers Caddell, M.D.
• David Carlos Cadena Jr., M.D.
• Lydia Kaler Cain, LPC
• Steven Michael Calamia, FNP-C
• Jared Calaway, LPC

• Nurse Practitioner in Boerne, TX
• Providers in Boerne, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.