Donald L Wikoff, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

261QM2500X Issued in TX

Practice address

2915 N Main St
Paris, TX 75460-9360

Phone

(903) 784-4044

Fax

(903) 784-4201

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

University of Nebraska College of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healogics Specialty Physicians of Texas PLLCGroup PAC ID 6709002777, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chambers Home Health Agency of Northeast Texas Com Home health agency, Mount Pleasant, TX, CCN 679171
• Guardian Healthcare Home health agency, Paris, TX, CCN 458041
• Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healogics Specialty Physicians of Texas, PLLC

  • Surgery Physician
  • Allen, TX
  • NPI 1285051094
  Medicare reassignment Care Compare group NPD
• Essent PRMC LP

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chambers Home Health Agency of Northeast Texas Company

  • Home Health Agency
  • Mt Pleasant, TX
  • NPI 1477556827
  Care Compare affiliation
• Essent PRMC LP

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767
  Care Compare affiliation
• S Fisher & S Thomas, Inc.

  • Home Health Agency
  • Paris, TX
  • NPI 1457354664
  Care Compare affiliation

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407628800000",
    "number": "1336112473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 N MAIN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609360",
            "telephone_number": "903-784-4044",
            "fax_number": "903-784-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 N MAIN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609360",
            "telephone_number": "903-784-4044",
            "fax_number": "903-784-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKOFF",
        "first_name": "DONALD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "261QM2500X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID",
            "identifier": "8G2040",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "004362710",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00043687",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA MEDICAID",
            "identifier": "100110440A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032599502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Samuel Wickes, PHARMACIST
• Wicks and Wicks, P.a.
• Colton Dale Wicks, O.D.
• Katie Lynn Wicks, O.D.
• Wikoff Urology, P.a.
• Celeste Ann Wilcox, MD, PHD
• Clifton E Wilkerson, M.D.
• Ashley Nicole Williams, FNP
• Fred Andrew Williams, M.D.
• Miranda Danielle Williamson

• Urology Physician in Paris, TX
• Providers in Paris, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.