Organization Active NPI

Clifton E. Wilkerson, MD PA

  • Obstetrics & Gynecology Physician
  • Paris, TX
National Provider Identifier
1467634006
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K2825 Issued in TX
Legal business name
CLIFTON E. WILKERSON, MD PA
Practice address
2850 Lewis Lane
Suite 101
Paris, TX 75460-9378
Phone
(903) 784-0800
Fax
(903) 784-0866
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Donna G Wilkerson
Title
Office Manager
Phone
(903) 784-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X K2825 TX Primary

Addresses

Primary practice location

2850 Lewis Lane
Suite 101
Paris, TX 75460-9378

Mailing address

2850 Lewis Lane
Suite 101
Paris, TX 75460-9378
Phone (903) 784-0800

National Provider Directory

National Provider Directory

Locations

2850 Lewis Ln
Ste 101
Paris, TX 75460
Phone (903) 739-2244

2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1467634006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LANE",
            "address_2": "SUITE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609378",
            "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 LANE",
            "address_2": "SUITE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609378",
            "telephone_number": "903-784-0800",
            "fax_number": "903-784-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON E. WILKERSON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-784-0800"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K2825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.