Karl S Hurst Wicker (NPI# 1962698654, PAC ID# 5496948267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1962698654 |
| PAC ID by PECOS | 5496948267 |
| Professional Enrollment ID | I20130926000528 |
| Full Name | Karl S Hurst Wicker |
| Organization Legal Name | BAYWOOD MEDICAL ASSOCIATES, PLLC |
| Address |
6309 E Baywood Ave Mesa AZ 85206-1744 |
| Phone Number | 4803253801 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2005 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 8820906720 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6309 E Baywood Ave, Mesa, AZ 85206-1744 | 4803253801 | BAYWOOD MEDICAL ASSOCIATES, PLLC |
| 7695 S Research Dr, Tempe, AZ 85284-1812 | 4803253801 | BAYWOOD MEDICAL ASSOCIATES, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 57% | |
| MIPS_EC_408_overall | Opioid Therapy Follow-up Evaluation | 12% | |
| MIPS_EC_412_overall | Documentation of Signed Opioid Treatment Agreement | 20% |
| Organization Legal Name | BAYWOOD MEDICAL ASSOCIATES, PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric J Boyd | Pain Management | Baywood Medical Associates, Pllc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Richard J Ruskin | Anesthesiology | Baywood Medical Associates, Pllc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Douglas J Lucas | Nurse Practitioner | Baywood Medical Associates, Pllc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Nicole E Holthouse | Nurse Practitioner | Baywood Medical Associates, Pllc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Street Address |
6309 E BAYWOOD AVE |
| City | MESA |
| State | AZ |
| Zip | 85206-1744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric J Boyd | Pain Management | Baywood Medical Associates, Pllc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Jennifer M Guy-carchidi | Physical Therapy | Strength Training Inc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Richard J Ruskin | Anesthesiology | Baywood Medical Associates, Pllc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Christopher M Adam | Physical Therapy | Strength Training Inc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Douglas J Lucas | Nurse Practitioner | Baywood Medical Associates, Pllc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Nicole E Holthouse | Nurse Practitioner | Baywood Medical Associates, Pllc | 6309 E Baywood Ave, Mesa, AZ 85206-1744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justina D Alphin | Physician Assistant | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Alan D Wamboldt | Orthopedic Surgery | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Ansan Thomas | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Stephanie Deborah Kotsur | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Hollis E Shaw | Hematology/oncology | 6242 E Arbor Ave, Suite 116, Mesa, AZ 85206-1309 | |
| Michele F Davis | Nurse Practitioner | Bruce C Davis, Md, PC | 6242 E Arbor Ave, Suite 101, Mesa, AZ 85206-1309 |
| Audrey A Lally | Registered Dietitian Or Nutrition Professional | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Monica Abrante | Internal Medicine | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Terry A Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Lisa R Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Find all physicians in zip 85206 | |||
| City | MESA |
| Zip Code | 85206 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | MESA + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Karl S Hurst Wicker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.