TRACY LEE WILKERSON (NPI# 1952517732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952517732 |
| Entity Type | Individual |
| Full Name | TRACY LEE WILKERSON |
| Other Name | TRACY LEE WILKERSON-BURTON |
| Credential | D.O |
| Practice Address |
101 S Park Ln Altus OK 73521-5731 |
| Practice Telephone | 5803796140 |
| Practice Fax Number | 5803796149 |
| Mailing Telephone | 5803796140 |
| Mailing Fax Number | 5803796149 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4707 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200294320A | 05 | |
| MI | STATE LICENSE | 5101016863 | 01 |
| OK | OK | 4707 | 01 |
| OK | RAILROAD MEDICARE | P01083969 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609218122 | Tracy Wilkerson | Social Worker | 4215 Robbins Ave, Orlando, FL 32808-2108 | 2013-07-25 |
| 1528024460 | Tracy Lynn Wilkerson | Dentist | 1400 Kanawha Boulevard East, Charleston, WV 25301 | 2006-04-20 |
| Street Address |
101 S PARK LN |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458752 | Julia Rivera-figueroa | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2005-06-22 |
| 1972987014 | Jackson County Memorial Hospital Authority | Clinic/Center | 101 S Park Ln, Suite 200, Altus, OK 73521-5731 | 2015-07-18 |
| 1407230790 | Jackson County Memorial Hospital Authority | Clinic/Center | 101 S Park Ln, Suite 100, Altus, OK 73521-5731 | 2015-07-16 |
| 1578990206 | Norman Charles Stewart | Obstetrics & Gynecology | 101 S Park Ln, Suite 200, Altus, OK 73521-5731 | 2013-09-26 |
| 1902164916 | Lindsey Nicole King | Pediatrics | 101 S Park Ln, Altus, OK 73521-5731 | 2012-04-26 |
| 1134354640 | Latoya Teresina Smith | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2009-05-28 |
| 1962670364 | Kristen Marie Savath | Pediatrics | 101 S Park Ln, Altus, OK 73521-5731 | 2008-02-19 |
| 1063612885 | Eteakamba Udoh | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521 | 2007-07-19 |
| 1952410219 | Nicholas G Viyuoh | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2006-08-30 |
| 1922060243 | Vicente Sanchez | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2006-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| 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 |
|---|---|---|---|---|
| 1467458752 | Julia Rivera-figueroa | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2005-06-22 |
| 1578990206 | Norman Charles Stewart | Obstetrics & Gynecology | 101 S Park Ln, Suite 200, Altus, OK 73521-5731 | 2013-09-26 |
| 1134354640 | Latoya Teresina Smith | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2009-05-28 |
| 1063612885 | Eteakamba Udoh | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521 | 2007-07-19 |
| 1952410219 | Nicholas G Viyuoh | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2006-08-30 |
| 1922060243 | Vicente Sanchez | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2006-04-03 |
| 1376534875 | Cullen John Archer | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2005-11-02 |
| 1295733632 | Pamela J Hyde | Obstetrics & Gynecology | 101 S Park Ln, Altus, OK 73521-5731 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1780201467 | Wesley Vaughan Md, Pllc | Obstetrics & Gynecology | 13921 N Meridian Ave Ste 200, Oklahoma City, OK 73134-1104 | 2020-06-29 |
| 1275016305 | Breathe Birth & Wellness, LLC | Obstetrics & Gynecology | 4800 W San Antonio St Ste 101, Broken Arrow, OK 74012-6127 | 2018-09-14 |
| 1902387475 | William Patrick Gideon | Obstetrics & Gynecology | 4617 Summerfield Ct, Norman, OK 73072-3934 | 2018-08-23 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1134649536 | Rupert R Thomas Md PC | Obstetrics & Gynecology | 1800 Renaissance Blvd Ste 210, Edmond, OK 73013-3023 | 2017-06-27 |
| 1568917037 | Chris A Lane Do Inc PC | Obstetrics & Gynecology | 4505 Blackberry Run, Oklahoma City, OK 73112-6157 | 2016-08-24 |
| 1881041879 | Paige Percer | Obstetrics & Gynecology | Rr 1 Box 835, Boswell, OK 74727-9726 | 2016-05-19 |
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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.