Boyd R Wickizer Jr. (NPI# 1750330353, PAC ID# 7416029590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1750330353 |
| PAC ID by PECOS | 7416029590 |
| Professional Enrollment ID | I20081028000321 |
| Full Name | Boyd R Wickizer Jr. |
| Address |
3335 S Crater Rd Suite 700 Petersburg VA 23805-9214 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490059 | BON SECOURS ST MARYS HOSPITAL |
| 490136 | BON SECOURS ST FRANCIS MEDICAL CENTER |
| 490069 | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3335 S Crater Rd, Suite 700, Petersburg, VA 23805-9214 |
| Street Address |
3335 S CRATER RD SUITE 700 |
| City | PETERSBURG |
| State | VA |
| Zip | 23805-9214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krishna Rao Kudaravalli | Obstetrics/gynecology | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
| Paul J Meyers | Obstetrics/gynecology | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
| Miguel Vega-gilormini | Obstetrics/gynecology | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
| Justin Andrew Phillingane | Podiatry | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
| Anuoluwapo Akinsanya | Obstetrics/gynecology | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan E Langer | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Sujatha Yellinedi | Medical Oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Nishanth Sukumaran | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Shobha R Nalluri | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Yogesh K Gandhi | Hematology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Tanikka Mason | Clinical Social Worker | 2002 Wakefield Ave, Petersburg, VA 23805-2112 | |
| Joseph W Siko Jr. | Podiatry | 2020 Wakefield Ave, Petersburg, VA 23805-2112 | |
| Samuel W Person | Podiatry | 2020 Wakefield St, Petersburg, VA 23805-2112 | |
| Nadeem Faruqi | Cardiovascular Disease (cardiology) | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
| Edwan T Kibot | Nurse Practitioner | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
| Find all physicians in zip 23805 | |||
| City | PETERSBURG |
| Zip Code | 23805 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PETERSBURG + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Boyd R Wickizer Jr..
| 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.