Organization Active NPI

Wikoff Urology, P.a.

  • Specialist
  • Paris, TX
National Provider Identifier
1811047798
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H6983 Issued in TX
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

Updated by the provider on May 1, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DA2698OtherTXRAILROAD MEDICARE
0012HZOtherTXBCBS
200003550AOtherOKOKLAHOMA MEDICAID
153197201MedicaidTX
007847195OtherTXAETNA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.