Max S Wicha, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

4301042541 Issued in MI

Practice address

1500 East Medical Center Dr
B1 Floor Cancer & Geriatrics Ctr Recp C
Ann Arbor, MI 48109-5916

Phone

(734) 936-6000

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Interoperability endpoints

• Direct secure messaging: mwicha27380@direct.med.umich.edu

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1265518138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "B1 FLOOR CANCER & GERIATRICS CTR RECP C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095916",
            "telephone_number": "734-936-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHA",
        "first_name": "MAX",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301042541",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "4301042541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1344810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanette Kay Whittington, DNP
• Whole Me Counseling LLC
• Jennifer Nicole Whorl
• Noelle Serwaa Boakye Whyte, M.D.
• Susan Michelle Wiard, OTR
• Susan Wichhart, PT
• Hannah Lamberg Wick, MD
• Donna M Wicker, OD
• Charles W Wickham, LMSW
• Larysa Tarashevska Wickman, M.D

• Medical Oncology Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Medical Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.