P Praxis·MD
● Active Type 1 · Individual

DR. Gregory Mathew Wickern, M.D.

Allergy & Immunology·Twin Falls, ID· NPI 1972578672 · Enumerated 2006 · 20 years on NPI
Wickern is 1 of 4 allergy & immunology providers in Twin Falls and 1 of 10 in Idaho.
NPI age
20 years
Enumerated 2006-02-17
Primary specialty
Allergy & Immunology
Plus 2 subspecialties
Licensed in
ID, NV, UT
3 states
Status
Active
No deactivations on record
Last NPPES update
2020-11-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 10 active allergy & immunology providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
3 states
Top 60% — 40% of peers are multi-state
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
1502 Locust St N Ste 600
Twin Falls, ID 833014164
📞 2087346091fax 2087344654
Mailing address
800 Falls Ave, Suite #2
Twin Falls, ID 833013366
📞 2087346091fax 2087344654

Specialties

  • Allergy & Immunology Primary
    A physician who specializes in the diagnosis, treatment, and management of allergies.
    ID license #M-10495 taxonomy 207KA0200X
  • Allergy & Immunology
    An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
    NV license #13018UT license #6578473-1205 taxonomy 207K00000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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