Ross Wickstrom (NPI# 1003265364, PAC ID# 4880986645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003265364 |
| PAC ID by PECOS | 4880986645 |
| Professional Enrollment ID | I20160714001888 |
| Full Name | Ross Wickstrom |
| Organization Legal Name | WILMINGTON MEDICAL ASSOCIATES, INC. |
| Address |
1184 W Locust St Wilmington OH 45177-2009 |
| Phone Number | 9373821616 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921097551 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360175 | CLINTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1150 W Locust St, Suite 300, Wilmington, OH 45177-2063 | 9373827168 | WILMINGTON MEDICAL ASSOCIATES, INC. |
| 1184 W Locust St, Wilmington, OH 45177-2009 | 9373821616 | WILMINGTON MEDICAL ASSOCIATES, INC. |
| Organization Legal Name | WILMINGTON MEDICAL ASSOCIATES, INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita J Wantz | Family Medicine | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| John W Merling | Family Medicine | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| Tina M Gabbard | Family Medicine | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| Regina J Lahmann | Nurse Practitioner | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| Ruth A Dooley | Pediatric Medicine | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| Jeffrey Manser | Pediatric Medicine | Wilmington Medical Associates, Inc. | 1150 W Locust St, Wilmington, OH 45177-2062 |
| Street Address |
1184 W LOCUST ST |
| City | WILMINGTON |
| State | OH |
| Zip | 45177-2009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita J Wantz | Family Medicine | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| John W Merling | Family Medicine | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| Tina M Gabbard | Family Medicine | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| Regina J Lahmann | Nurse Practitioner | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| Ruth A Dooley | Pediatric Medicine | Wilmington Medical Associates, Inc. | 1184 W Locust St, Wilmington, OH 45177-2009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell G Howard | Chiropractic | Wilmington Chiropractic and Wellness Center LLC | 576 Prairie Ave, Wilmington, OH 45177-1770 |
| Terry Shaffer | Chiropractic | Wilmington Chiropractic and Wellness Center LLC | 576 Prairie Ave, Wilmington, OH 45177-1770 |
| Thomas John Kreusch Jr. | Chiropractic | Thomas J. Kreusch, Jr. D.c. Inc. | 2333 Rombach Ave, Wilmington, OH 45177-1941 |
| Katy Erin Meeker | Nurse Practitioner | The Little Clinic of Ohio LLC | 1230 Rombach Ave, Wilmington, OH 45177-1943 |
| Gregg Harris | Physical Therapy | Drayer Physical Therapy LLC | 1475 Rombach Ave, Wilmington, OH 45177-1946 |
| Elizabeth M Fink | Physical Therapy | Drayer Physical Therapy LLC | 1475 Rombach Ave, Wilmington, OH 45177-1946 |
| Gerald K Perelman | Podiatry | 1435 Rombach Ave, Wilmington, OH 45177-1991 | |
| Shaun Patrick Jester | Obstetrics/gynecology | Wilmington Physicians Group LLC | 2241 Rombach Ave, Wilmington, OH 45177-1995 |
| Noelle Elizabeth Singer | Nurse Practitioner | Wilmington Physicians Group LLC | 2241 Rombach Ave, Wilmington, OH 45177-1995 |
| Sheila C Llanes-diopita | Family Medicine | Wilmington Physicians Group LLC | 2241 Rombach Ave, Wilmington, OH 45177-1995 |
| Find all physicians in zip 45177 | |||
| City | WILMINGTON |
| Zip Code | 45177 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILMINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ross Wickstrom.
| 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.