Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114360229 Individual Practitioner Female Practitioner

Dr. Suzanne Marie Wical , MD

Pediatrics • Fort Campbell, KY

Professional Overview & Biography Verified Profile Summary

Dr. Suzanne Wical, MD is a registered healthcare professional specializing in Pediatrics in Fort Campbell, KY. Practice services are available at 650 JOEL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 Joel Dr

Fort Campbell, KY 422235318

Telephone 6056514259
Associated Practice Facility / Clinic
🏢 Ach Blanchfield-Ft Campbell Facility NPI 1417044702

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Campbell, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Fort Campbell, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NE 28269

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lisa Cordell , RN

Registered Nurse

NPI 1003134073

Registered Nurse

Samantha Winder , ATC

Specialist/Technologist - Athletic Trainer

NPI 1003143249

Certified Athletic Trainer

Kathleen Groff , FNP-BC

Nurse Practitioner

NPI 1003312984

Family Nurse Practitioner (Board Certified)

Lindsay Davis

Counselor - Professional

NPI 1003319799
Dr. Jeffrey Sanford , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003470709

Doctor of Medicine (M.D.)

Erik Flolo , LMSW

Social Worker - Clinical

NPI 1003477605

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 20, 2019

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 6056514259)

📍
Updated Business Mailing Address March 20, 2019

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 6056514259)

👤
Provider Name / Credentials Updated March 20, 2019

Recorded as SUZANNE WICAL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Pediatrics (License #28269 in NE)

NPI Profile Active April 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2015

Registered at 3551 ROGER BROOKE DR, SAN ANTONIO, TX 782344504 (Tel: 2109169928)

📍
Updated Business Mailing Address April 05, 2015

Registered at 3551 ROGER BROOKE DR, SAN ANTONIO, TX 782344504 (Tel: 2109169928)

👤
Provider Name / Credentials Updated April 05, 2015

Recorded as SUZANNE ROTH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2015

General Practice (License #28269 in NE)

🟢
Initial NPI Registration & Enumeration April 09, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114360229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2013
Last Update: March 20, 2019
Sole Proprietor: No

Mailing Address

650 Joel Dr

Fort Campbell, KY 422235318

Phone: 6056514259

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.