DR. PAUL V WICKSTER (NPI# 1629111505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629111505 |
| Entity Type | Individual |
| Full Name | DR. PAUL V WICKSTER |
| Credential | D.C. |
| Practice Address |
1590 Prince Ave Athens GA 30606-6006 |
| Mailing Address |
250 New St Athens GA 30601-1853 |
| Practice Telephone | 7062273325 |
| Practice Fax Number | 7063699800 |
| Mailing Telephone | 7062273325 |
| Mailing Fax Number | 7063699800 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111NX0800X |
Chiropractor Specialization: Orthopedic |
CHIR006263 | GA | Chiropractic Providers |
| X | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIR006263 | GA | Chiropractic Providers |
| Street Address |
1590 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-6006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235609041 | Dynamic Spine II Center LLC | Chiropractor | 21 Market Square Way Ste 103, Newnan, GA 30265-5712 | 2018-12-05 |
| 1134337223 | W David Hall | Chiropractor | 104 E Hall St, Thomson, GA 30824-2726 | 2007-05-20 |
| 1639214208 | James Kevin Donohue | Chiropractor | 6094 Odell St, Cumming, GA 30040-5704 | 2007-02-21 |
| 1851434476 | Harry Ellsworth Siegrist IIi | Chiropractor | 1781 Veterans Memorial Hwy Ste 1a, Austell, GA 30168-7965 | 2007-02-14 |
| 1326193947 | Alejandro Serrano | Chiropractor | 4852 Jimmy Carter Blvd, Norcross, GA 30093-3643 | 2007-01-24 |
| 1972687762 | Jeffrey Berklich | Chiropractor | 1101 Cambridge Sq, Ste B, Alpharetta, GA 30004-1865 | 2006-10-25 |
| 1114001245 | David Saverio Ficco | Chiropractor | 1885 Lawrenceville Suwanee Rd, Suite 130, Lawrenceville, GA 30043-1408 | 2006-10-25 |
| 1073618229 | Katharine Maxine Geier | Chiropractor | 2453 N Decatur Rd, Decatur, GA 30033-6101 | 2006-09-13 |
| 1053420265 | Deborah Caroline Tucker | Chiropractor | 2769 Chastain Meadows Pkwy, 130, Marietta, GA 30066-3369 | 2006-08-30 |
| 1215970355 | Robert L. Alpert | Chiropractor | 7202 Tara Blvd, Jonesboro, GA 30236-1902 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
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| 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.