Curtis G Wickre, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD00019812 Issued in WA

Practice address

500 W Broadway St
4TH Floor
Missoula, MT 59802-4008

Phone

(406) 327-1900

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cwickre346331@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inland Northwest Renal Care Group, LLC

  dba North Idaho Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1912019720
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1033102116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190012",
            "telephone_number": "406-543-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "address_2": "4TH FLOOR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-327-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKRE",
        "first_name": "CURTIS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00019812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8342602",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin E Whitton, DPM
• Wholistic Chiropractic PC
• Christopher G Wicher, M.D.
• Christy Wicklund, ABOC
• Jaala M Wickman, FNP-BC
• Kallie Widaman, PHARMD
• Angela Widdicombe, LCSW, LAC
• Emma Wiese
• Jennifer L Wihlborg, LCSW
• David J Wilcox, DMD

• Nephrology Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Nephrology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.