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NPI · 1669476123 · NPPES-sourced

Karl Wickstrom M.D.

ActiveDiagnostic Radiology
NPI Number
1669476123
Type 1 · Individual
Taxonomy Code
2085R0202X
Contact
(928) 776-9900
License AZ · 21726
Last Updated
About 13 years ago (Feb 2013)
Enumerated 2005-06-10
Primary practice addressAZ · 86305-2337
790 Gail Gardner WayPrescott, AZ 86305-2337
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Also known as

  • Also known asWickstrom, Ted

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1669476123 is registered to Karl Wickstrom M.D., a Diagnostic Radiology practising at 790 Gail Gardner Way in Prescott, Arizona. Diagnostic Radiology uses medical imaging (X-ray, CT, MRI, ultrasound, and nuclear medicine) to diagnose disease and injury. Karl Wickstrom M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-06-10
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Karl Wickstrom M.D. accepts. To confirm in-network status with your specific health plan, contact Karl Wickstrom M.D. directly at (928) 776-9900.

Frequently asked

Yes. NPI 1669476123 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Diagnostic Radiology uses medical imaging (X-ray, CT, MRI, ultrasound, and nuclear medicine) to diagnose disease and injury.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (928) 776-9900.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Karl Wickstrom M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2085R0202X
Last updated2013-02
Enumerated2005-06-10
StatusActive
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