Allan B Wicks, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

16825 Issued in CO

Practice address

499 E Hampden Ave
Ste 300
Englewood, CO 80113-2793

Phone

(303) 788-8500

Fax

(303) 788-8505

NPI assigned

Jun 13, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

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

• National Jewish South Denver

  • Multi-Specialty Clinic/Center
  • Englewood, CO
  • NPI 1043858889
  NPD (past)
• South Denver Pulmonary Associates PC

  • Pulmonary Disease Physician
  • Englewood, CO
  • NPI 1275537706
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467456988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE",
            "address_2": "STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132793",
            "telephone_number": "303-788-8500",
            "fax_number": "303-788-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE",
            "address_2": "STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132793",
            "telephone_number": "303-788-8500",
            "fax_number": "303-788-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "ALLAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "16825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01168251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tia White
• Megan Whitehead, FNP
• Marguerite Whiteside
• Chelsea Whitley
• Whitney Swander Audiology Inc
• Jamie Wieck, MA, LPCC
• Jayden Wiersma, LCSW
• Makayla Wilbur-Bash
• Benjamin Schooley Wilks
• Doreen M Willey, RT

• Pulmonary Disease Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Pulmonary Disease Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.