Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy Katherine Wick, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1174617203

Tracy Katherine Wick, MD is a Dermatology in Dayton, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 1997, 29 years ago. Practices with San Luis Dermatology, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9000 N Main St Ste 332
Dayton, OH 45415-1185
Phone: (937) 832-7337
Fax: (937) 832-4817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 35075468 (OH)

Record details

NPI number1174617203
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address9000 North Main Street, Suite 332, Dayton, OH 45415-1185

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice San Luis Dermatology, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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