Medwise PC
Medwise PC is a healthcare organization registered as Diagnostic Radiology Physician in Prescott, AZ, holding Type 2 (organization) NPI 1427006253 since 2006. The authorized official on file is Ted Wickstrom, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1427006253 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Medwise PC |
| Practice address | 790 GAIL GARDNER WAY, Prescott, AZ, 86305 |
| Phone | 9287769900 |
| Fax | 9287761444 |
| Enumeration date | 2006-05-04 |
| Last updated in NPPES | 2013-03-07 |
Authorized official
| Name | Ted Wickstrom |
|---|---|
| Title | Medical Director |
| Phone | 9287769900 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | 21726 | AZ |
Copy-ready billing details
Provider: Medwise PC NPI: 1427006253 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 790 GAIL GARDNER WAY, Prescott, AZ, 86305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669476123 | Karl Wickstrom | Individual | Diagnostic Radiology Physician | Prescott, AZ |
| 1124624093 | Smi Imaging LLC | Organization | Diagnostic Radiology Physician | Prescott, AZ |
Verify this record
Cross-check NPI 1427006253 against the authoritative CMS record: view Medwise PC 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
What type of organization is Medwise PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2013-03-07.