WICKFORD FAMILY MEDICINE LLC – Family Medicine Physician, NPI 1104124734

WICKFORD FAMILY MEDICINE LLC is a healthcare provider. based in North kingstown, Rhode Island. specializing in Family Medicine Physician. The organization holds a License No. 08781 (RI). The NPI Number for WICKFORD FAMILY MEDICINE LLC is 1104124734

Main info

Organization
Name
WICKFORD FAMILY MEDICINE LLC
NPI
1104124734
Phone
(401) 450-2111
Address
PO BOX 118
Authorized Official
JOHN MACHATA MEDICAL DIRECTOR M.D.
Enumeration Date
7 March 2011
Last Update Date
7 March 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for WICKFORD FAMILY MEDICINE LLC

  • PO BOX 118

    NORTH KINGSTOWN, RI 028520118

    Phone: (401) 450-2111

    Type: Mailing

  • 320 PHILLIPS ST

    SUITE 204

    NORTH KINGSTOWN, RI 028525149

    Phone: (401) 450-2111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02852)

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Reviews

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Frequently asked questions

What unique ID ties claims to WICKFORD FAMILY MEDICINE LLC?
NPI 1104124734 is assigned to WICKFORD FAMILY MEDICINE LLC under the national enumeration system.
Does this profile mean WICKFORD FAMILY MEDICINE LLC is currently active?
Yes — WICKFORD FAMILY MEDICINE LLC appears active in the national provider directory.
What does WICKFORD FAMILY MEDICINE LLC treat or focus on?
Patients typically see WICKFORD FAMILY MEDICINE LLC under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for WICKFORD FAMILY MEDICINE LLC?
The page summarizes North Kingstown, Rhode Island for WICKFORD FAMILY MEDICINE LLC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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