William J Wickwire (NPI# 1699779660, PAC ID# 5395785141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1699779660 |
| PAC ID by PECOS | 5395785141 |
| Professional Enrollment ID | I20071205000428 |
| Full Name | William J Wickwire |
| Organization Legal Name | WILLIAM J WICKWIRE, M.D., INC., |
| Address |
3831 Hughes Ave Suite 504 Culver City CA 90232-6808 |
| Phone Number | 3102043376 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7315974375 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3831 Hughes Ave, Suite 504, Culver City, CA 90232-6808 | 3102043376 | WILLIAM J WICKWIRE, M.D., INC., |
| 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 | 3107981515 | WILLIAM J WICKWIRE, M.D., INC., |
| Organization Legal Name | WILLIAM J WICKWIRE, M.D., INC., |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fariba Seraj | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Pascal Ferzli | Dermatology | William J Wickwire, M.d., Inc. | 16300 Sand Canyon Ave, Suite 612, Irvine, CA 92618-3706 |
| Mary T Von Hoffmann | Dermatology | William J Wickwire, M.d., Inc. | 16300 Sand Canyon Ave, Suite 612, Irvine, CA 92618-3706 |
| Erik Patrick Sorenson | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Street Address |
3831 HUGHES AVE SUITE 504 |
| City | CULVER CITY |
| State | CA |
| Zip | 90232-6808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle A Putnam | Otolaryngology | Westside Head and Neck | 3831 Hughes Ave, Suite 504, Culver City, CA 90232-6808 |
| Betsy Blechman | Ophthalmology | Betsy E. Blechman, M.d., Inc. | 3831 Hughes Ave, Suite 500, Culver City, CA 90232-6854 |
| Katie L Marks | Allergy/immunology | 3831 Hughes Ave, Suite 600a, Culver City, CA 90232-6843 | |
| Daniel V Ehrensaft | Infectious Disease | 3831 Hughes Ave, Suite 603, Culver City, CA 90232-6846 | |
| Amanda Salvado | Otolaryngology | Westside Head and Neck | 3831 Hughes Ave, Suite 504, Culver City, CA 90232-6808 |
| Eric Ishibashi | Optometry | Betsy E. Blechman, M.d., Inc. | 3831 Hughes Ave, Suite 500, Culver City, CA 90232-6854 |
| David B Light | Nurse Practitioner | Tolwin Psychiatric Medical Group Inc | 3831 Hughes Ave, Suite 506, Culver City, CA 90232-6860 |
| Ada Del Rivero Yamuy | General Practice | 3831 Hughes Ave, Suite 101, Culver City, CA 90232-6834 | |
| Behrad Ben Aynehchi | Otolaryngology | Westside Head and Neck | 3831 Hughes Ave, Suite 504, Culver City, CA 90232-6808 |
| Jesus Romero Muro | Pulmonary Disease | 3831 Hughes Ave, Suite 707, Culver City, CA 90232-6841 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Fahringer | Optometry | 3840 Main St, Culver City, CA 90232-2620 | |
| Praveen Gupta | Obstetrics/gynecology | 9435 Venice Blvd, Culver City, CA 90232-2623 | |
| Chad L Clark | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| William K Fleming Iii | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Brett A Rosen | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| William D Power | Pathology | Memorial Pathology Medical Group Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Bernard T Mcnamara | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Aminatu J Shehu | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Joshua M Mechanic | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Stephen Carney | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Find all physicians in zip 90232 | |||
| City | CULVER CITY |
| Zip Code | 90232 |
| Specialty | DERMATOLOGY |
| City + Specialty | CULVER CITY + DERMATOLOGY |
Please comment or provide details below to improve the information on William J Wickwire.
| 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.