Active NPI
Matthew Wick, M.D., PLLC
- Primary Care Clinic/Center
- Abilene, TX
National Provider Identifier
1124446836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- P5147
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.