DR. LOELLA E. CLARK WICKEY MD
NPI 1235105230
Family Medicine in Corning, NY

Active since February 28, 2006
130 CENTER WAY, CORNING, NY 14830(607) 936-9971(607) 936-2600 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Loella E. Clark Wickey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LOELLA E. CLARK WICKEY MD (NPI 1235105230) is an individual family medicine provider in Corning, New York, licensed in New York (173504-1) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1235105230
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LOELLA E. CLARK WICKEYCredential: MD
Location Address130 CENTER WAYCorning, NY 14830-2255
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858 · Fax (570) 882-3007
Fax(607) 936-2600
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateNovember 2, 2007
NPI 1235105230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 173504-1
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
130 CENTER WAY, Corning, NY 14830

Other Identifiers 5

Medicaid01060824NY
OtherCC8362NY · Rr Medicare Group
Medicare ID-Type Unspecified39821QNY
Medicaid0011150680003PA
Medicare UPIND28333

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
130 CENTER WAY
CORNING, NY 14830
Internal Medicine
130 CENTER WAY
CORNING, NY 14830
Internal Medicine (Gastroenterology)
130 CENTER WAY
CORNING, NY 14830
Nurse Practitioner (Family)
130 CENTER WAY
CORNING, NY 14830
Optometrist
130 CENTER WAY
CORNING, NY 14830
Durable Medical Equipment & Medical Supplies
130 CENTER WAY
CORNING, NY 14830
Physician Assistant
130 CENTER WAY
CORNING, NY 14830
Internal Medicine
130 CENTER WAY
CORNING, NY 14830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loella Wickey's NPI number?

The NPI number for Loella Wickey is 1235105230. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Loella Wickey located?

Loella Wickey practices at 130 Center Way, Corning, NY 14830. The listed phone number is (607) 936-9971.

What is Loella Wickey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Loella Wickey was last updated on November 2, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.