OrganizationActive
Medwise PC
NPI 1427006253 · Diagnostic Radiology Physician · Prescott, AZ
Medwise PC is a Diagnostic Radiology Physician organization in Prescott, AZ (NPI 1427006253).
Provider details
- NPI number
- 1427006253
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ted Wickstrom, Medical Director(928) 776-9900
- License
- 21726 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
790 Gail Gardner Way
Prescott, AZ 86305-2337
Phone: (928) 776-9900
Fax: (928) 776-1444
Street-level locationGet directions
Mailing address
790 Gail Gardner Way
Prescott, AZ 86305-2337
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2013-03-07
Frequently asked questions
- What is Medwise PC's NPI number?
- Medwise PC's National Provider Identifier (NPI) is 1427006253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medwise PC?
- Medwise PC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Medwise PC located?
- Medwise PC's practice location on file with NPPES is 790 Gail Gardner Way, Prescott, AZ 86305-2337.
- What is Medwise PC's phone number?
- The practice phone number listed in the NPPES registry for Medwise PC is (928) 776-9900.
- Who is the authorized official for Medwise PC?
- The authorized official listed on Medwise PC's NPPES record is Ted Wickstrom, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medwise PC's NPI active?
- Yes — Medwise PC's NPI (1427006253) is active in the NPPES registry as of the last update on 2013-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.