Active NPI
Wenda Zick, MD
- General Practice Physician
- Plainfield, IN
National Provider Identifier
1922325836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01058144A
- Practice address
- 5802 Hickory Woods Dr
Plainfield, IN 46168-8603 - Phone
- (317) 839-0917
- NPI assigned
- May 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26018671A | IN | |
| General Practice Physician | 208D00000X | 01058144A | IN | Primary |
Addresses
Primary practice location
5802 Hickory Woods Dr
Plainfield, IN 46168-8603
Mailing address
Lilly Corporate Ctr
450 S Madison Avenue
Indianapolis, IN 46285-0001
Phone (317) 277-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26018671A | IN | MD | Pharmacist |
| 01058144A | IN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272758400000",
"number": "1922325836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LILLY CORPORATE CTR",
"address_2": "450 S MADISON AVENUE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462850001",
"telephone_number": "317-277-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5802 HICKORY WOODS DR",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461688603",
"telephone_number": "317-839-0917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZICK",
"first_name": "WENDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-02",
"last_updated": "2010-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26018671A",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01058144A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.