Jason W. Wickersham in Parkston - Family Medicine
Jason W. Wickersham - NPI 1073594172
Jason W. Wickersham is a Family Medicine in Parkston, South Dakota. Jason W. Wickersham practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jason W. Wickersham is 1073594172. The last update date is 2012-08-09.
Jason W. Wickersham's current location address is 401 W Glynn Dr, Parkston, South Dakota. You can contact this provider via phone number 6059283311 and fax number 6059287368. The mailing address for Jason W. Wickersham is 401 W Glynn Dr, Parkston, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason W. Wickersham |
|---|---|
| Address | 401 W Glynn Dr, Parkston, South Dakota |
| Phone Number | 6059283311 |
| Fax Number | 6059287368 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073594172 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2012-08-09 |
Provider Mailing Address Detail
| Address | 401 W Glynn Dr |
|---|---|
| City | Parkston |
| State | South Dakota (SD) |
| Post Code | 573669605 |
| Phone Number | 6059283311 |
| Fax Number | 6059287368 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5450 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5340070 | SD | -- | |
| 5340340 | SD | -- | |
| 4995341 | SD | WELLMARK | |
| 5611620 | SD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jason W. Wickersham by the Centers for Medicare & Medicaid Services?
The Jason W. Wickersham has been assigned the NPI (National Provider Identifier) 1073594172. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jason W. Wickersham's facilities are geographically located?
The facilities of Jason W. Wickersham are physically situated at the following location: 401 W Glynn Dr, Parkston, SD, 573669605.
What is the Jason W. Wickersham's area of specialization and corresponding taxonomy classification?
The Jason W. Wickersham's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1073594172 to Jason W. Wickersham?
The Jason W. Wickersham received its 1073594172 assignment from the Centers for Medicare & Medicaid Services on 2005-11-07.
When was the information pertaining to Jason W. Wickersham most recently updated or revised?
The details related to Jason W. Wickersham, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-09.