JEFFREY R. WICHMAN MD – NPI #1619179991
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JEFFREY WICHMAN is a radiologist located in CAPE GIRARDEAU, MO. NPPES has assigned the NPI number 1619179991 to JEFFREY WICHMAN on May 31, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 5 years ago on May 05, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY WICHMAN below.

NPI Profile for
JEFFREY R. WICHMAN

NPI Number
1619179991
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFREY R. WICHMAN
Credentials
MD
Primary location
70 DOCTORS' PARK
CAPE GIRARDEAU, MO 63703
Phone: (573) 334-6071 Fax: (573) 334-4739
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 MO 2008003319

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEFFREY WICHMAN is affiliated with the following medical group(s):
  • HOSPITAL
    • HERRIN HOSPITAL
      201 S 14TH ST
      HERRIN, IL 62948
    • MEMORIAL HOSPITAL OF CARBONDALE
      405 W JACKSON
      CARBONDALE, IL 62901
    • POPLAR BLUFF REGIONAL MEDICAL CENTER
      3100 OAK GROVE ROAD
      POPLAR BLUFF, MO 63901
    • SAINT FRANCIS MEDICAL CENTER
      211 ST FRANCIS DR
      CAPE GIRARDEAU, MO 63703
    • SOUTHEASTHEALTH
      1701 LACEY ST
      CAPE GIRARDEAU, MO 63701

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