NPIMap

Organization Active NPI

Highland Park Primary Care Center, PLLC

  • Primary Care Clinic/Center
  • Williamsburg, KY
National Provider Identifier
1669617809
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HIGHLAND PARK PRIMARY CARE CENTER, PLLC
Practice address
475 N Highway 25 W
Suite300
Williamsburg, KY 40769-1576
Phone
(606) 549-2054
Fax
(606) 549-8156
NPI assigned
Dec 2, 2008
Last updated
Aug 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Dr. Charles H. Wilkens, M.D.
Title
President
Phone
(606) 549-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

475 N Highway 25 W
Suite300
Williamsburg, KY 40769-1576

Mailing address

PO Box 506
Jellico, TN 37762-0506
Phone (606) 549-2054

National Provider Directory

National Provider Directory

Locations

475 N Highway 25 W
Ste 300
Williamsburg, KY 40769
Phone (606) 549-2054

Practitioners & affiliated clinicians

Practitioners 8

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": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1669617809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377620506",
            "telephone_number": "606-549-2054",
            "fax_number": "606-549-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 N HIGHWAY 25 W",
            "address_2": "SUITE300",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691576",
            "telephone_number": "606-549-2054",
            "fax_number": "606-549-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK PRIMARY CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "WILKENS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-549-8054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.