MICHAEL M WICK (NPI# 1801917950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801917950 |
| Entity Type | Individual |
| Full Name | MICHAEL M WICK |
| Credential | M.D. |
| Practice Address |
2995 Woodside Rd Ste 400 Woodside CA 94062-2446 |
| Practice Telephone | 6508457711 |
| Mailing Telephone | 6508457711 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
37261 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
2995 WOODSIDE RD STE 400 |
| City | WOODSIDE |
| State | CA |
| Zip Code | 94062-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700284023 | Rodney Perkins | Otolaryngology | 2995 Woodside Rd, Suite 100, Woodside, CA 94062-2443 | 2014-12-18 |
| 1750402996 | Gail L Brown | Internal Medicine | 2995 Woodside Rd, Suite 400, Woodside, CA 94062-2446 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1932687241 | Silhouette Medical Group | Dermatology | 101 E Vineyard Ave Ste 107, Livermore, CA 94550-6877 | 2018-07-31 |
| 1780188482 | California Dermatology Physicians | Dermatology | 1902 Fullerton Ave # 102, Corona, CA 92881-3112 | 2018-03-19 |
| 1942709738 | Azadeh Shirazi Md Inc | Dermatology | 7301 Girard Ave Ste 202, La Jolla, CA 92037-5151 | 2018-02-07 |
| 1205342920 | Solano Dermatology Associates Inc | Dermatology | 1700 2nd St Ste 220, Napa, CA 94559-2455 | 2017-12-18 |
| 1831603901 | Laser Medspa, Inc. | Dermatology | 73655 El Paseo Ste N, Palm Desert, CA 92260-4304 | 2017-11-27 |
| 1326427204 | Jennifer Herrmann Md Inc | Dermatology | 421 N Rodeo Dr Ste 7, Beverly Hills, CA 90210-4514 | 2015-05-25 |
| 1235540196 | Microsurgery Goup | Dermatology | 21039 S Figueroa Ave Suite 201, Carson, CA 90745-7042 | 2014-05-14 |
| 1811261183 | Robert Ray Nettles | Dermatology | 8500 Wilshire Blvd Ste 630, Beverly Hills, CA 90211-3139 | 2012-03-02 |
| 1164748737 | Jane Chung | Dermatology | 895 E Fremont Ave Ste 201, Sunnyvale, CA 94087-2973 | 2010-04-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL M WICK.
| 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.