DR. ELIZABETH ANN WICKSTROM M.D. NPI 1952473118

NPI Information

  • NPI: 1952473118
  • Provider Name: DR. ELIZABETH ANN WICKSTROM, M.D.
  • Classification: Obstetrics & Gynecology - 207VM0101X
  • Specialization: Maternal & Fetal Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8081 TOWNSHIP LINE RD STE 203
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 415-8100

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NPI Details

DR. Elizabeth Ann Wickstrom, M.D. is a maternal and fetal medicine obstetrics gynecology in Indianapolis, IN with 39 years of experience. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. DR. Elizabeth Ann Wickstrom, M.D. NPI is 1952473118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

8081 TOWNSHIP LINE RD STE 203
INDIANAPOLIS, IN
ZIP 46260-189
Phone: (317) 415-8100

The NPI 1952473118 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 11/14/2006 and was last updated on 9/20/2022.

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
1207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine04-24625KANSASNo
2207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineR7N69MISSOURINo
3207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine01088352AINDIANAYes

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: 11/21/2025

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