Mitchell Wicker Jr MD Psc

Mitchell Wicker Jr MD Psc is a healthcare organization registered as Internal Medicine Physician in Hazard, KY, holding Type 2 (organization) NPI 1093718116 since 2005. The authorized official on file is Mitchell Wicker, Owner.

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NPI	1093718116
Entity type	Organization (Type 2)
Legal business name	Mitchell Wicker Jr MD Psc
Other name	<Unavail>
Practice address	271 E MAIN ST, Hazard, KY, 41701
Phone	6064391316
Fax	6064350752
Enumeration date	2005-05-23
Last updated in NPPES	2014-01-17

Authorized official

Name	Mitchell Wicker
Title	Owner
Phone	6064391316

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207R00000X	Internal Medicine Physician	Primary	21790	KY

Other identifiers

Identifier	Type	State	Issuer
31001035	Medicaid	KY	—

Copy-ready billing details

Provider: Mitchell Wicker Jr MD Psc
NPI: 1093718116
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 271 E MAIN ST, Hazard, KY, 41701

Providers at this address

NPI	Name	Type	Specialty	Location
1730182841	Mitchell Wicker	Individual	Internal Medicine Physician	Hazard, KY
1063494854	Jeffery Prater	Individual	Internal Medicine Physician	Hazard, KY
1033131156	Trena Preston	Individual	Nurse Practitioner	Hazard, KY
1023025384	Mary Engle	Individual	Physician Assistant	Hazard, KY

Verify this record

Cross-check NPI 1093718116 against the authoritative CMS record: view Mitchell Wicker Jr MD Psc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Mitchell Wicker Jr MD Psc located?

The practice location on file with NPPES is in Hazard, KY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-01-17. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-01-17.