Active NPI
Wikoff Urology, P.a.
- Specialist
- Paris, TX
National Provider Identifier
1811047798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H6983
- Legal business name
- WIKOFF UROLOGY, P.A.
- Practice address
- 2915 N Main St
Paris, TX 75460-9360 - Phone
- (903) 784-4044
- Fax
- (903) 784-4201
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Lee Wikoff, M.D.
- Title
- President
- Phone
- (903) 784-4044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H6983 | TX | Primary |
Addresses
Primary practice location
2915 N Main St
Paris, TX 75460-9360
Mailing address
2915 N Main St
Paris, TX 75460-9360
Phone (903) 784-4044
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA2698 | Other | TX | RAILROAD MEDICARE |
| 0012HZ | Other | TX | BCBS |
| 200003550A | Other | OK | OKLAHOMA MEDICAID |
| 153197201 | Medicaid | TX | |
| 007847195 | Other | TX | AETNA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1811047798",
"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": {
"organization_name": "WIKOFF UROLOGY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "WIKOFF",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-784-4044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "H6983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA2698",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0012HZ",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA MEDICAID",
"identifier": "200003550A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153197201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "007847195",
"state": "TX"
}
],
"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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.