DR. MARIAREGINA LANDICHO WICKS MD NPI 1316025356

NPI Information

NPI: 1316025356
Provider Name: DR. MARIAREGINA LANDICHO WICKS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
NAVAL HEALTH CLINIC OAK HARBOR 3475 NO SARATOGA ST
OAK HARBOR, WA
ZIP 98278
Phone: (360) 257-9501
Get Directions

DR. Mariaregina Landicho Wicks, MD is a family medicine in Oak Harbor, WA. The provider is 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 is not limited by age, sex, organ system, or disease entity. DR. Mariaregina Landicho Wicks, MD NPI is 1316025356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

NAVAL HEALTH CLINIC OAK HARBOR 3475 NO SARATOGA ST
OAK HARBOR, WA
ZIP 98278-001
Phone: (360) 257-9501
Fax: (360) 257-9978

The NPI 1316025356 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		00023369	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8176398	MEDICAID	WASHINGTON
2	00023369	OTHER	WASHINGTON	WA MD LICENSE
3	170322	OTHER	WASHINGTON	LABOR AND INDUSTRIES ID
4	E47294	OTHER	WASHINGTON	MEDICARE UPIN
5	7116841	OTHER	WASHINGTON	DSHS (PAYABLE GROUP)
6	GAB38763	OTHER	WASHINGTON	MEDICARE PIN (PTAN)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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