Geoffrey R Wickwire, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41267 Issued in MA

Practice address

100 Highland Street
So Shore Int Med Assocs
Milton, MA 02186

Phone

(617) 698-8855

NPI assigned

May 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 1

Addresses

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 and National Provider Directory roles.

• South Shore Internal Medicine Associates Inc.

  • Rheumatology Physician
  • Milton, MA
  • NPI 1053475012

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710924915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 ARNOLD RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812842",
            "telephone_number": "617-698-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND STREET",
            "address_2": "SO SHORE INT MED ASSOCS",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-698-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKWIRE",
        "first_name": "GEOFFREY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "41267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ann Washington, MPA, LSW
• Arthur Jay Weingarten
• Annika Welch
• Richard E Whitehead, MD
• George Percy Whitelaw Jr., M.D.
• Enefaa Wilcox, NP
• William E. Cobb, M.D., P.C.
• Roberta A Williamson, MD
• Willow Health and Wellness
• Julia Willson

• Internal Medicine Physician in Milton, MA
• Providers in Milton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.