Organization Active NPI

The Paducah Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Paducah, KY
National Provider Identifier
1639145220
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
THE PADUCAH ORTHOPAEDIC CLINIC
Practice address
1532 Lone Oak Rd
Ste 310
Paducah, KY 42002
Phone
(270) 442-1638
Fax
(270) 575-8555
NPI assigned
Feb 24, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. James R Wilkinson, MDNPI 1699743658
Title
Orthopaedic Surgeon
Phone
(270) 442-1638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1532 Lone Oak Rd
Ste 310
Paducah, KY 42002

Mailing address

PO Box 7099
1532 Lone Oak Rd Ste 310
Paducah, KY 42002
Phone (270) 442-1638

Other identifiers 3

IdentifierTypeStateIssuer
65902801MedicaidKY
000000200170OtherKYBC/BS OF KY
90001064OtherBC/BS OF IL

National Provider Directory

National Provider Directory

Locations

1528 Lone Oak Rd
Paducah, KY 42003
Phone (210) 538-5850

1532 Lone Oak Rd
Paducah, KY 42003
Phone (270) 442-3536

Practitioners & affiliated clinicians

Practitioners 4

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": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1639145220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7099",
            "address_2": "1532 LONE OAK RD STE 310",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42002",
            "telephone_number": "270-442-1638",
            "fax_number": "270-575-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD",
            "address_2": "STE 310",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42002",
            "telephone_number": "270-442-1638",
            "fax_number": "270-575-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PADUCAH ORTHOPAEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "270-442-1638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65902801",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KY",
            "identifier": "000000200170",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "90001064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.