ASHLEY MORRIS WICKS


Address: 2191 9th Ave N, Suite 200, St Petersburg, FL 33713-7146
Phone: 7273270990

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9106183 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE LICENSE PA9106183 01

Office Location

Street Address 2191 9TH AVE N
SUITE 200
City ST PETERSBURG
State FL
Zip Code 33713-7146

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City ST PETERSBURG
Zip Code 33713

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Dataset Information

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.

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