Karl Wickstrom, M.D.
NPI 1669476123 · Diagnostic Radiology Physician · Prescott, AZ
Karl Wickstrom, M.D. is a Diagnostic Radiology Physician provider in Prescott, AZ (NPI 1669476123).
Provider details
- NPI number
- 1669476123
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 21726 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
Mailing address
Registry dates
- Enumerated
- 2005-06-10
- Last updated
- 2013-02-28
Frequently asked questions
- What is Karl Wickstrom's NPI number?
- Karl Wickstrom's National Provider Identifier (NPI) is 1669476123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karl Wickstrom's specialty?
- Karl Wickstrom is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Karl Wickstrom located?
- Karl Wickstrom's practice location on file with NPPES is 790 Gail Gardner Way, Prescott, AZ 86305-2337.
- What is Karl Wickstrom's phone number?
- The practice phone number listed in the NPPES registry for Karl Wickstrom is (928) 776-9900.
- Is Karl Wickstrom's NPI active?
- Yes — Karl Wickstrom's NPI (1669476123) is active in the NPPES registry as of the last update on 2013-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.