Richard Paul Wikholm (NPI# 1831198647, PAC ID# 1951497544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1831198647 |
| PAC ID by PECOS | 1951497544 |
| Professional Enrollment ID | I20091029000108 |
| Full Name | Richard Paul Wikholm |
| Organization Legal Name | CENTRAL COAST OTOLARYNGOLOGY |
| Address |
116 S Palisade Dr Suite 206 Santa Maria CA 93454-8906 |
| Phone Number | 8056149250 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1984 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2769521178 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 116 S Palisade Dr, Suite 206, Santa Maria, CA 93454-8906 | 8056149250 | CENTRAL COAST OTOLARYNGOLOGY |
| Organization Legal Name | CENTRAL COAST OTOLARYNGOLOGY |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary P Vandegriend | Otolaryngology | Central Coast Otolaryngology | 116 S Palisade Dr, Suite 206, Santa Maria, CA 93454-8906 |
| Jennifer R Perry | Qualified Audiologist | Central Coast Otolaryngology | 116 S Palisade Dr, Suite 206, Santa Maria, CA 93454-8906 |
| Street Address |
116 S PALISADE DR SUITE 206 |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-8906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taimur Latif Chaudhry | Obstetrics/gynecology | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 104, Santa Maria, CA 93454-8905 |
| Eli S Zinner | Obstetrics/gynecology | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 104, Santa Maria, CA 93454-8905 |
| Kevin J Paluay | Nurse Practitioner | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 200, Santa Maria, CA 93454-8905 |
| Terra Clayton | Nurse Practitioner | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 200, Santa Maria, CA 93454-8905 |
| Katrina Hirsig | Nurse Practitioner | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 200, Santa Maria, CA 93454-8905 |
| Peter Garcia | Psychiatry | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 200, Santa Maria, CA 93454-8905 |
| Zachary P Vandegriend | Otolaryngology | Central Coast Otolaryngology | 116 S Palisade Dr, Suite 206, Santa Maria, CA 93454-8906 |
| Garabed Messrobian | Otolaryngology | 116 S Palisade Dr, Santa Maria, CA 93454-8904 | |
| Kellie A Delozier | Obstetrics/gynecology | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 104, Santa Maria, CA 93454-8905 |
| Carol A Karamitsos | Obstetrics/gynecology | Urology Associates of The Central Coast | 116 S Palisade Dr, Suite 110, Santa Maria, CA 93454-8905 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane P O Brien | Certified Registered Nurse Anesthetist (crna) | 816 E Ehos Dr B, Santa Maria, CA 93454 | |
| Ramanand C Dandillaya | Neurology | 210 S Palisade S Dr, Suite 203, Santa Maria, CA 93454 | |
| Gayle L Ulshafer | Certified Registered Nurse Anesthetist | 837 Harper Ct, Santa Maria, CA 93454-2348 | |
| James Tahmisian | Psychologist, Clinical | 117 E Fesler St, Santa Maria, CA 93454-4404 | |
| Ron T Ng | Optometry | 610 E Chapel St, Suite C, Santa Maria, CA 93454-4522 | |
| Arlene C Gonzales | Family Medicine | 722 E Chapel St, Santa Maria, CA 93454-4524 | |
| Nathan Singer | Interventional Pain Management | 120 N Miller St A, Santa Maria, CA 93454-4557 | |
| Matthew Hadilaksono | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Suite 1, Santa Maria, CA 93454-4607 |
| Kenneth Ejiogu | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Santa Maria, CA 93454-4607 |
| Wanda J Spencer | Obstetrics/gynecology | 937 E Main St, 101 Women Care, Santa Maria, CA 93454-4607 | |
| Find all physicians in zip 93454 | |||
| City | SANTA MARIA |
| Zip Code | 93454 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SANTA MARIA + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Richard Paul Wikholm.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.