CH Wilkinson Physician Network

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

Legal business name

CH WILKINSON PHYSICIAN NETWORK

Doing business as

CHRISTUS Medical Group

Practice address

2601 Hospital Blvd
Suite 212
Corpus Christi, TX 78405-1815

Phone

(361) 592-2223

Fax

(361) 592-1967

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Donna J. Mikulecky

Title

Ceo President

Phone

(713) 277-2208

Specialties & licenses 1

Addresses

Other names 1

• CHRISTUS Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• C H Wilkinson Physician Network

  • Nurse Practitioner
  • Boerne, TX
  • NPI 1326292145

  O20041203000584

  Same enrollment
• C H Wilkinson Physician Network

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947

  O20041203000584

  Same enrollment
• C H Wilkinson Physician Network

  • Nurse Practitioner
  • Richmond, TX
  • NPI 1609029545

  O20041203000584

  Same enrollment
• C.H. Wilkinson Physician Network

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1215127667

  O20041203000584

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Stuart Lyda, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New Braunfels, TX
  • NPI 1952347106
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1942356043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 GENERAL CAVAZOS BLVD",
            "address_2": "SUITE 305",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637129",
            "telephone_number": "361-592-2223",
            "fax_number": "361-592-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOSPITAL BLVD",
            "address_2": "SUITE 212",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051815",
            "telephone_number": "361-592-2223",
            "fax_number": "361-592-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH WILKINSON PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MIKULECKY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "713-277-2208"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keisha Ladey Cephus
• Anna Iris Cerda, PT
• Sebastian Cerna, M.D.
• Certified Sleep Medicine Diagnostic Center LLC
• Cesar Albarracin MD
• Zelda Chacon, RN, CFNP
• Crystal R Chaffin, MBA, ATP
• Diana Chagoya, AU.D.
• Ramakrishna Chakilam, M.D
• Katherine Ann Champion

• Orthopaedic Trauma Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Orthopaedic Trauma Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.