ASHLEY MORRIS WICKS (NPI# 1699052118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699052118 |
Entity Type | Individual |
Full Name | ASHLEY MORRIS WICKS |
Credential | P.A. |
Practice Address |
2191 9th Ave N Suite 200 St Petersburg FL 33713-7146 |
Mailing Address |
2191 9th Ave N Ste 235 St Petersburg FL 33713-7152 |
Practice Telephone | 7273270990 |
Practice Fax Number | 7273270895 |
Mailing Telephone | 8139770733 |
Mailing Fax Number | 8139712230 |
Enumeration Date | 2011-11-11 |
Last Update Date | 2020-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA9106183 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE LICENSE | PA9106183 | 01 |
Street Address |
2191 9TH AVE N SUITE 200 |
City | ST PETERSBURG |
State | FL |
Zip Code | 33713-7146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619974490 | Americare Physicians Group, LLC | Internal Medicine | 2191 9th Ave N, Suite 115, St Petersburg, FL 33713-7146 | 2005-07-07 |
1063045821 | Kelly Tyrrell Range | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2020-02-19 |
1053858563 | Melissa Roberts | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2017-01-22 |
1508117391 | Janet A Loo | Nurse Practitioner | 2191 9th Ave N, Ste 110, St Petersburg, FL 33713-7146 | 2012-09-20 |
1811205990 | Ralph A. Dematteis Md Pl | Surgery | 2191 9th Ave N, Suite 240, St Petersburg, FL 33713-7146 | 2010-09-22 |
1841451960 | Choice Hospital Consultants, Pa | Family Medicine | 2191 9th Ave N, Ste 105, St Petersburg, FL 33713-7146 | 2008-06-20 |
1235328998 | Christopher M Davey Md Pa | Family Medicine | 2191 9th Ave N, Suite 115, St Petersburg, FL 33713-7146 | 2007-10-18 |
1679761118 | Carol L Pappas Md Phd Pa | Psychiatry & Neurology | 2191 9th Ave N, #230, St Petersburg, FL 33713-7146 | 2007-10-10 |
1013102409 | Natalie Eudora Bastien | Nurse Practitioner | 2191 9th Ave N, Suite 110, St Petersburg, FL 33713-7146 | 2007-09-10 |
1790904480 | Barbara Lynn Joustra | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2007-04-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
Find all providers in zip 33713 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558969378 | Odalys Caro | Physician Assistant | 6500 20th St N, St Petersburg, FL 33702-7112 | 2020-10-14 |
1417587106 | Hannah Newman | Physician Assistant | 1667 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-01-22 |
1740752526 | Michelle Ciesla | Physician Assistant | 2640 14th Ave N, St Petersburg, FL 33713-5813 | 2018-12-18 |
1205328978 | Alfredo Jose Gotera Avila | Physician Assistant | 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 | 2018-05-30 |
1578074043 | Ekta H Patel | Physician Assistant | 125 5th Ave Ne Apt 260, St Petersburg, FL 33701-3038 | 2017-10-23 |
1225495526 | Kelly Marie Egan | Physician Assistant | 2736 4th Ave N, St Petersburg, FL 33713-7824 | 2016-01-19 |
1992125264 | Casie J Parker | Physician Assistant | 603 7th Street S, Ste 540, St Petersburg, FL 33701 | 2014-04-24 |
1407174824 | Gina Mendez | Physician Assistant | 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 | 2010-05-10 |
1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
1720211725 | Christina Marie Tomasino | Physician Assistant | 3140 9th Ave N, St Petersburg, FL 33713-6626 | 2009-08-25 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33713 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.