Daniel J Wickert, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01034216A Issued in IN

Practice address

3920 St Francis Way
Suite 110
Lafayette, IN 47905-4917

Phone

(765) 428-5800

Fax

(765) 428-5802

NPI assigned

Sep 7, 2005

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

Interoperability endpoints

• Direct secure messaging: dwickert127157@direct.franciscanalliance.org

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.

• Womans Healthcare Associates, P.C.

  • Obstetrics & Gynecology Physician
  • Crawfordsville, IN
  • NPI 1235594060
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1982698783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 ST FRANCIS WAY",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054917",
            "telephone_number": "765-428-5800",
            "fax_number": "765-428-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 ST FRANCIS WAY",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054917",
            "telephone_number": "765-428-5800",
            "fax_number": "765-428-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKERT",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01034216A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Randall Whitesides, MD
• Chelsea Whitfield, RBT
• Destini Whitfield, RBT
• Brittney Elizabeth Whittaker, LMHC
• Laura Jean Wicker, FNP
• Patricia Wickholm
• Brooke Widmer, MSW
• Patricia M Wilber, CST
• Lisa Wilder, ATC
• Anna L Wildermuth, MD

• Obstetrics & Gynecology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.