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DR. GREGORY MATHEW WICKERN M.D. NPI 1972578672


NPI Information

NPI: 1972578672
Provider Name: DR. GREGORY MATHEW WICKERN, M.D.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

Organization: ASTHMA AND ALLERGY OF IDAHO PLLC

PECOS Registration: Yes

Address:
1502 LOCUST ST N STE 600
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-6091
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DR. Gregory Mathew Wickern, M.D. is an allergy allergy immunology in Twin Falls, ID with 39 years of experience. DR. Gregory Mathew Wickern, M.D. NPI is 1972578672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1985

The provider's business location address is:

1502 LOCUST ST N STE 600
TWIN FALLS, ID
ZIP 83301-164
Phone: (208) 734-6091
Fax: (208) 734-4654

The NPI 1972578672 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 2/17/2006 and was last updated on 11/17/2020.


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
1207K00000XAllergy & Immunology6578473-1205UTAHNo
2207K00000XAllergy & Immunology13018NEVADANo
3207KA0200XAllergy & ImmunologyAllergyM-10495IDAHOYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.