James R Wickerath, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00028905 Issued in WA

Practice address

1706 E Capitol Ave
Variable Subcontracting Cities and States
Ellensburg, WA 98926

Phone

(509) 674-3759

NPI assigned

Jun 22, 2006

Last updated

May 14, 2019By 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

Medicare fee-for-service enrollment

Enrolled in IA, WA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Health

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  Medicare reassignment NPD
• Klickitat County Public Hospital District No 1

  dba KVH Family Medicine

  • Clinic/Center
  • Goldendale, WA
  • NPI 1467530915
  Medicare reassignment NPD
• Spencer Municipal Hospital

  dba Milford Family Care

  • Clinic/Center
  • Milford, IA
  • NPI 1396732186
  Medicare reassignment NPD
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Hospital

  • Emergency Care Clinic/Center
  • Goldendale, WA
  • NPI 1780754507
  NPD
• Spencer Municipal Hospital

  dba Iowa Spine Care

  • Orthopaedic Surgery Physician
  • Spencer, IA
  • NPI 1316432826
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1780610915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E CAPITOL AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989269442",
            "telephone_number": "509-674-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E CAPITOL AVE",
            "address_2": "VARIABLE SUBCONTRACTING CITIES AND STATES",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "509-674-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKERATH",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00028905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Christina Whitworth, L.M.P
• John Warfield Whitworth, PTA
• Whole Health Pharmacy LLC (Whole Health Pharmacy LTC)
• Whole Health Pharmacy LLC (Whole Health Pharmacy)
• Fritz William Wichterman
• Kaitlyn Wilder
• Brian T. Williams, C.P.O., L.P.O.
• Melinda Renee Williard, ARNP
• Kassondra Lynn Wilson
• Elizabeth F Wise, MD

• Emergency Medicine Physician in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.