Dr Clifton E Wilkerson & Dr R Walker Putnam PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DR CLIFTON E WILKERSON & DR R WALKER PUTNAM PLLC

Practice address

2850 Lewis LN
Suite 101
Paris, TX 75460-9383

Phone

(903) 784-0800

Fax

(903) 784-0866

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Clifton E Wilkerson, MDNPI 1003813320

Title

President

Phone

(903) 784-0800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 5

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.

• Clifton E Wilkerson, M.D.

  • Obstetrics & Gynecology Physician
  • Paris, TX
  • NPI 1003813320
  Medicare reassignment Care Compare group NPD Authorized official
• Macy Elizabeth Hines, CNM

  • Midwife
  • Paris, TX
  • NPI 1720875792
  Medicare reassignment Care Compare group NPD
• Russell Walker Putnam, M.D.

  • Obstetrics & Gynecology Physician
  • Paris, TX
  • NPI 1609197227
  Medicare reassignment Care Compare group NPD
• Kacy Nicole Carpenter, D.O.

  • Obstetrics & Gynecology Physician
  • Paris, TX
  • NPI 1871930388
  Medicare reassignment NPD
• Krista Raylynn Whitaker, NP

  • Nurse Practitioner
  • Paris, TX
  • NPI 1386119857
  Medicare reassignment NPD

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1366848111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "SUITE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609383",
            "telephone_number": "903-784-0800",
            "fax_number": "903-784-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "SUITE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609383",
            "telephone_number": "903-784-0800",
            "fax_number": "903-784-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CLIFTON E WILKERSON & DR R WALKER PUTNAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-784-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Udo Nnamdi Dike, BPHARM
• Chad Alan Dilbeck, PHARM.D.
• Diversicare Paris, LLC (Brentwood Terrace Healthcare and Rehabilitation Center)
• Dogwood Gynecology
• Mindy Nicole Dority, PT
• Dr Tracy Pipkin MD PA
• Dr. Tracy Pipkin MD PA
• Delaney Drake
• Cecilia Hope Drennen
• Dua Optical Management, LLC (My EyeLab)

• Obstetrics & Gynecology Physician in Paris, TX
• Providers in Paris, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.