Organization Active NPI

Matthew Wick, M.D., PLLC

  • Primary Care Clinic/Center
  • Abilene, TX
National Provider Identifier
1124446836
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
P5147 Issued in TX
Legal business name
MATTHEW WICK, M.D., PLLC
Practice address
1441 Pine St
Abilene, TX 79601
Phone
(325) 672-3252
Fax
(325) 480-9400
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Dr. Matthew E Wick, M.D.
Title
Owner
Phone
(325) 672-3252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X P5147 TX Primary

Addresses

Primary practice location

1441 Pine St
Abilene, TX 79601

Mailing address

1441 Pine St
Abilene, TX 79601-3534
Phone (325) 672-3252

Other practice location 1

950 N 19th St Ste 100
Abilene, TX 79601-2420
Phone (325) 672-3252

Other practice location 2

950 N 19th St Ste 100
Abilene, TX 79601-2420
Phone (325) 672-3252

National Provider Directory

National Provider Directory

Locations

950 N 19th St
Ste 100
Abilene, TX 79601
Phone (325) 670-7187

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1124446836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013534",
            "telephone_number": "325-672-3252",
            "fax_number": "325-480-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79601",
            "telephone_number": "325-672-3252",
            "fax_number": "325-480-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N 19th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012420",
            "country_code": "US",
            "telephone_number": "325-672-3252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 N 19th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012420",
            "country_code": "US",
            "telephone_number": "325-672-3252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEW WICK, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-672-3252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "P5147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.