National Provider Identifier
John Andrew Wickett, D.O.
John Andrew Wickett, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Batavia, NY and a listed phone number of (585) 343-4440.
Profile Overview
- NPI
- 1548520703
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 22, 2012
- Last Updated
- January 08, 2020
Practice Location
- 229 Summit St
- Ste 1
- Batavia, NY 14020-1645
Phone: (585) 343-4440
Specialties
- Family Medicine Physician (207Q00000X)
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (2083P0011X)
Full Record
- NPI
- 1548520703
- Entity Type
- Individual
- Last Name
- Wickett
- First Name
- John
- Middle Name
- Andrew
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 229 Summit St
- Mailing Address Line 2
- Ste 1
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-1645
- Mailing Country
- US
- Mailing Phone
- (585) 343-4440
- Practice Street Address
- 229 Summit St
- Practice Address Line 2
- Ste 1
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1645
- Practice Country
- US
- Practice Phone
- (585) 343-4440
- Enumeration Date
- May 22, 2012
- Last Updated
- January 08, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 08, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (2083P0011X)