Individual provider · Type 1 NPI

Thomas R. Wickham, PA-C

Physician Assistant · Danville, PA

NPI number 1154372803 Active

Practice location

100 N Academy Ave
Danville, PA 17822-1335

Fax (570) 271-5814

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA001704L (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154372803

Thomas R. Wickham, PA-C's National Provider Identifier is 1154372803, issued on May 15, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Danville, PA. The record was last updated on Jul 13, 2026.