Individual provider Active NPI

William Mickey Wike, M.D.

  • Family Medicine Physician
  • New Bern, NC
National Provider Identifier
1235187535
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9800419 Issued in NC
Practice address
1040 Medical Park Ave
New Bern, NC 28562-5248
Phone
(252) 633-1678
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9800419 NC Primary

Addresses

Primary practice location

1040 Medical Park Ave
New Bern, NC 28562-5248

Mailing address

120 Neuse Harbour Blvd
New Bern, NC 28560-8435
Phone (252) 672-1842

Other practice location 1

4389 Beaufort Rd
Cherry Point, NC 28533
Phone (252) 466-0233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127001487 NC Practitioner - Family Practice 4284860099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians

Practice addresses (Care Compare)

1000 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 514-6685

1030 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 638-2273

900 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 639-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Coastal Carolina Health Care PA Family Medicine Current Accepting new patients
Coastal Carolina Health Care PA CurrentSince Oct 1, 2013 Accepting new patients

Locations

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

Interoperability endpoints

  • Direct secure messaging: wwike27050@coastalcarolinahealthcenter.gardenplot.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1235187535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NEUSE HARBOUR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285608435",
            "telephone_number": "252-672-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MEDICAL PARK AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625248",
            "telephone_number": "252-633-1678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4389 Beaufort Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Point",
            "state": "NC",
            "postal_code": "28533",
            "country_code": "US",
            "telephone_number": "252-466-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIKE",
        "first_name": "WILLIAM",
        "middle_name": "MICKEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9800419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.