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DR. SUSAN LEE WICKES M.D. NPI 1912982091


NPI Information

NPI: 1912982091
Provider Name: DR. SUSAN LEE WICKES, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
13737 N 92ND ST
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 301-8000
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DR. Susan Lee Wickes, M.D. is a family medicine in Scottsdale, AZ. 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. Susan Lee Wickes, M.D. NPI is 1912982091. 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:

13737 N 92ND ST
SCOTTSDALE, AZ
ZIP 85260-434
Phone: (480) 301-8000

The enumeration date for this NPI number is 12/12/2005 and was last updated on 10/31/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20950ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
186080015085259A266OTHERARIZONATRIWEST
2Z02WCGTB10MEDICARE PINARIZONA
386080015085260A010OTHERARIZONATRIWEST
4D81063MEDICARE UPIN
5441163MEDICAIDARIZONA

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: 4/28/2024

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