DR. DALE WICKSTROM-HILL (NPI# 1538267471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538267471 |
| Entity Type | Individual |
| Full Name | DR. DALE WICKSTROM-HILL |
| Credential | DO |
| Practice Address |
200 Avenue F Ne Winter Haven FL 33881-4131 |
| Mailing Address |
Po Box 198096 Atlanta GA 30384-8096 |
| Practice Telephone | 3528678898 |
| Practice Fax Number | 3527326282 |
| Mailing Telephone | 3528678898 |
| Mailing Fax Number | 3527326282 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
OS0006374 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 80933 | 01 |
| FL | 003632900 | 05 |
| Street Address |
200 AVENUE F NE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353993 | Phillip C. Gordon | Pathology | 200 Avenue F Ne, Dept. of Pathology, Winter Haven, FL 33881-4131 | 2005-11-14 |
| 1679193726 | Maria Ann Cressman | Registered Nurse | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2020-04-19 |
| 1194386144 | James Ray Fuentes | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4193 | 2019-06-20 |
| 1023573961 | Candy Bridges | Registered Nurse | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2019-02-05 |
| 1093299380 | Amy Arlene Davis | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-09-21 |
| 1639656614 | Felix E Sanchez | Pharmacist | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-07-23 |
| 1801384243 | Tarsha Foreman | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-05-01 |
| 1265953178 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 200 Avenue F Ne, Winter Haven, FL 33881 | 2017-06-30 |
| 1518497601 | Hui Yang | Occupational Therapist | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2017-06-12 |
| 1093243552 | Chelsea Elizabeth Lenz | Emergency Medicine | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2017-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659377224 | Ana D Lipson | Anesthesiology | 410 1st St S, Winter Haven, FL 33880-3504 | 2005-06-28 |
| 1578681664 | Anesthesia Consultants of Central Florida,llc | Anesthesiology | 2400 Dundee Rd, Winter Haven, FL 33884-1166 | 2007-03-27 |
| 1093862062 | Pain Management Associates LLC | Anesthesiology | 2400 Dundee Rd, Winter Haven, FL 33884-1166 | 2007-01-04 |
| 1174621114 | Dr. Dale Wickstrom-hill Pa | Anesthesiology | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181087 | John Peter Lafferty Iv | Anesthesiology | 2039 Hillview St Apt 4, Sarasota, FL 34239-2396 | 2020-07-10 |
| 1679197735 | Dynamic Pain & Wellness Pllc | Anesthesiology | 325 John Knox Rd Bldg 200, Tallahassee, FL 32303-4114 | 2020-06-04 |
| 1689294621 | Advanced Pain Management and Wellness Center | Anesthesiology | 241 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2020-04-20 |
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1346886033 | Spine and Orthopedic Specialists of Tampa, LLC | Anesthesiology | 6919 N Dale Mabry Hwy Ste 325, Tampa, FL 33614-3860 | 2019-11-18 |
| 1700446077 | Gulf Coast Pain Consultants LLC | Anesthesiology | 182 A East Redstone Ave, Crestview, FL 32539-5371 | 2019-06-18 |
| 1265099386 | Gulf Coast Pain Consultants LLC | Anesthesiology | 10437 Sorrento Rd Ste 203, Pensacola, FL 32507-7620 | 2019-05-23 |
| 1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
| 1861056384 | Englewood Pain Management LLC | Anesthesiology | 2061 Englewood Rd Ste 2a, Englewood, FL 34223-1747 | 2019-04-30 |
| 1962066241 | Doctors Best Wellness Centers Inc | Anesthesiology | 2237 N Commerce Pkwy Ste 3, Weston, FL 33326-3250 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
Please comment or provide details below to improve the information on DR. DALE WICKSTROM-HILL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.