DR. CATHERINE LYNNETTE WIKOFF (NPI# 1770576613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770576613 |
| Entity Type | Individual |
| Full Name | DR. CATHERINE LYNNETTE WIKOFF |
| Credential | MD |
| Practice Address |
2710 S Rife Medical Ln Rogers AR 72758 |
| Mailing Address |
3230 Veterans Memorial Dr Mount Vernon IL 62864-5950 |
| Practice Telephone | 4796360200 |
| Practice Fax Number | 4799863448 |
| Mailing Telephone | 6189975266 |
| Mailing Fax Number | 6186880010 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-113405 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP PTAN | 207219 | 01 |
| IL | PTAN | K17920 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Professional Dr, Suite 220, Alton, IL 620025068 | 6184631181 | 6184634624 |
| 2709 Broadway St, Pekin, IL 615542676 | 3096807600 | 3093533334 |
| 2710 S Rife Medical Ln, Rogers, AR 72758 | 4796360200 | 4799863448 |
| Street Address |
2710 S RIFE MEDICAL LN |
| City | ROGERS |
| State | AR |
| Zip Code | 72758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449423 | Meaghan Mcnulty | Internal Medicine | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2005-07-05 |
| 1518591809 | Mercy Hospital Rogers | Rehabilitation Unit | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2020-02-26 |
| 1992367122 | Cheryl Amanda Willis | Dietitian, Registered | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2019-07-09 |
| 1003379173 | Lawrence Anthony Hoyt | Student in an Organized Health Care Education/Training Program | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2019-04-07 |
| 1194281840 | Ryan Payne | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2019-02-19 |
| 1720562945 | Rachel Iwanda Reynolds | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2018-09-24 |
| 1174017917 | Kathryn Rae Dutton | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2018-06-15 |
| 1487175303 | Natale Lanell Yates | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-06-30 |
| 1376077388 | Eric W Haynes | Registered Nurse | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-04-17 |
| 1730629163 | Tonya Davis | Registered Nurse | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2017-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| 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 |
|---|---|---|---|---|
| 1700107869 | David Randall Deschamps | Obstetrics & Gynecology | 5414 W Pinnacle Pointe Dr Ste 300, Rogers, AR 72758-8956 | 2010-06-11 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1215960471 | Tiffany N Weathers | Obstetrics & Gynecology | 5204 Village Parkway, Suite #11, Rogers, AR 72758-1452 | 2006-07-09 |
| 1780642447 | Amy Deanne Sarver | Obstetrics & Gynecology | 3333 Pinnacle Hills Pkwy, Suite 300, Rogers, AR 72758-8952 | 2006-05-03 |
| 1609833854 | Randall Feezell | Obstetrics & Gynecology | 5501 Pinnacle Point Dr. Suite 4, Rogers, AR 72758 | 2006-04-28 |
| 1053316745 | James W Smith | Obstetrics & Gynecology | 3333 S Pinnacle Hills Pkwy Ste 600, Rogers, AR 72758 | 2005-06-17 |
| 1013250265 | Christopher Andrew Hall | Obstetrics & Gynecology | 2708 S Rife Medical Ln Ste T40, Rogers, AR 72758-1474 | 2013-04-05 |
| 1508000167 | Mendy Acanthe Mack | Obstetrics & Gynecology | 2708 S Rife Medical Ln, Suite T40, Rogers, AR 72758-1452 | 2009-04-27 |
| 1609036755 | Kale D Dittmeyer | Obstetrics & Gynecology | 2708 Rife Medical Lane, T40, Rogers, AR 72758-1452 | 2008-06-12 |
| 1417977471 | Joseph J Ivy | Obstetrics & Gynecology | 808 S 52nd St, Rogers, AR 72758-8602 | 2006-07-20 |
| Find all providers in ROGERS | ||||
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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.