Michael Quinn Wickham, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

200600790 Issued in NC

Practice address

316 S Dunworth St
Visalia, CA 93292-6702

Phone

(559) 625-0601

Fax

(559) 625-1315

NPI assigned

Apr 22, 2008

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Pathology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Pathology Medical Group IncGroup PAC ID 0143261214, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242
• Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194
• Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score

79.58 of 100Reported as group

Quality

59.16

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Associated Pathology Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Gatos, CA
  • NPI 1932283264
  Medicare reassignment Care Compare group NPD
• Associated Pathology Medical Group, Inc

  • Clinical Medical Laboratory
  • Santa Cruz, CA
  • NPI 1679659114
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007
  Care Compare affiliation
• Pajaro Valley Health Care District Hospital Corporation

  • General Acute Care Hospital
  • Watsonville, CA
  • NPI 1619607488
  Care Compare affiliation
• Stanford Health Care

  • Radiation Oncology Physician
  • Pleasanton, CA
  • NPI 1124561758

  Hospital

  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Emeryville, CA
  • NPI 1275076325
  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Emeryville, CA
  • NPI 1285177337
  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927
  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Pleasanton, CA
  • NPI 1467990465
  Care Compare affiliation
• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1871543215
  Care Compare affiliation
• Stanford Life Flight

  • Air Ambulance
  • Stanford, CA
  • NPI 1114063203

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1497929343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S DUNWORTH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932926702",
            "telephone_number": "559-625-0601",
            "fax_number": "559-625-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S DUNWORTH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932926702",
            "telephone_number": "559-625-0601",
            "fax_number": "559-625-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "MICHAEL",
        "middle_name": "QUINN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "200600790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Whitman, M.D.
• Lisa Robin Whitmore, LCSW
• Kelsi Whitworth, M.A., CF-SLP
• Jamie Wibbels
• Wick Financial Corporation
• Tammy Irene Wiggins, R.N.
• Charles Lee Wilcox, DDS
• Janie Wilcox
• Katrina Wildey
• Rochelle M Wileman, PA

• Anatomic Pathology & Clinical Pathology Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.