DR CLIFTON E WILKERSON & DR R WALKER PUTNAM PLLC (NPI# 1366848111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366848111 |
| Entity Type | Organization |
| Organization Name | DR CLIFTON E WILKERSON & DR R WALKER PUTNAM PLLC |
| Practice Address |
2850 Lewis Ln Suite 101 Paris TX 75460-9383 |
| Practice Telephone | 9037840800 |
| Practice Fax Number | 9037840866 |
| Mailing Telephone | 9037840800 |
| Mailing Fax Number | 9037840866 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | CLIFTON E WILKERSON (PRESIDENT) |
| Authorized Official Telephone | 9037840800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2850 LEWIS LN SUITE 101 |
| City | PARIS |
| State | TX |
| Zip Code | 75460-9383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506608 | Mark David Vaughn | Obstetrics & Gynecology | 2850 Lewis Ln, Ste 107, Paris, TX 75460-9378 | 2005-05-26 |
| 1871930388 | Kacy Nicole Carpenter | Obstetrics & Gynecology | 2850 Lewis Ln, Ste 101, Paris, TX 75460-9383 | 2013-05-24 |
| 1336432558 | Paris Heart and Vascular Care, P.a. | Clinic/Center | 2850 Lewis Ln, Pavilion 1, Suite 114, Paris, TX 75460-9383 | 2011-05-20 |
| 1649469933 | Gordon B. Strom,jr. Md Facp | Allergy & Immunology | 2850 Lewis Ln, Ste. 111, Paris, TX 75460-9378 | 2007-10-23 |
| 1629139803 | David Lawrence Stewart | Internal Medicine | 2850 Lewis Ln, Ste 111, Paris, TX 75460-9383 | 2006-12-12 |
| 1356401707 | William Daryl Dickey | Internal Medicine | 2850 Lewis Ln, Ste 111, Paris, TX 75460-9383 | 2006-12-08 |
| 1295789949 | Jill Danette Awtrey | Psychiatry & Neurology | 2850 Lewis Ln, #109, Paris, TX 75462-2019 | 2006-05-19 |
| 1326002015 | Rosanna Ximenes Wehrman | Counselor | 2850 Lewis Ln, Pavilion 1 Suite 109, Paris, TX 75462-2019 | 2006-04-12 |
| 1548253578 | David Allen Carpenter | Obstetrics & Gynecology | 2850 Lewis Ln, Ste 113, Paris, TX 75462-2019 | 2005-08-24 |
| 1245239359 | William E Surber | Internal Medicine | 2850 Lewis Ln, Ste. 101, Paris, TX 75460-9383 | 2005-07-20 |
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|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780949891 | Dr Tracy Pipkin Md Pa | Obstetrics & Gynecology | 2870 Lewis Ln Ste 229, Suite 835, Paris, TX 75460-9380 | 2012-07-05 |
| 1609197227 | Russell Walker Putnam | Obstetrics & Gynecology | 2850 Lewis Ln Ste 101, Paris, TX 75460-9378 | 2010-06-17 |
| 1265602841 | Katherine Tucker Whitfield | Obstetrics & Gynecology | 300 Hospital Cir Ste 101-104, Paris, TN 38242-4504 | 2008-03-10 |
| 1467634006 | Clifton E. Wilkerson, Md Pa | Obstetrics & Gynecology | 2850 Lewis Lane, Suite 101, Paris, TX 75460-9378 | 2007-12-05 |
| 1245334507 | Paul Andrew Locus | Obstetrics & Gynecology | 1323 E Wood St, Ste. 3, Paris, TN 38242-4421 | 2006-09-08 |
| 1427050137 | Fred Andrew Williams | Obstetrics & Gynecology | 1900 Fm 195, Paris, TX 75462-2821 | 2005-08-12 |
| 1932100740 | Gibson Dan Kimberlin | Obstetrics & Gynecology | 300 Hospital Cir, Suite 103, Paris, TN 38242-5806 | 2005-08-02 |
| 1073517488 | Tracy Pipkin | Obstetrics & Gynecology | 2870 Lewis Ln, Suite 229, Paris, TX 75460-9379 | 2005-06-13 |
| 1972506608 | Mark David Vaughn | Obstetrics & Gynecology | 2850 Lewis Ln, Ste 107, Paris, TX 75460-9378 | 2005-05-26 |
| 1871930388 | Kacy Nicole Carpenter | Obstetrics & Gynecology | 2850 Lewis Ln, Ste 101, Paris, TX 75460-9383 | 2013-05-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.