DWIGHT RAYMOND STICKNEY M.D. NPI 1225296676

NPI Information

NPI: 1225296676
Provider Name: DWIGHT RAYMOND STICKNEY, M.D.
Classification: Radiology - 2085R0203X
Entity Type: Individual

Specialization: Therapeutic Radiology

PECOS Registration: Yes

Address:
5275 ASHBY LN
GRANITE BAY, CA
ZIP 95746
Phone: (916) 600-5116
Get Directions

Dwight Raymond Stickney, M.D. is a therapeutic radiology radiology in Granite Bay, CA. Dwight Raymond Stickney, M.D. NPI is 1225296676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5275 ASHBY LN
GRANITE BAY, CA
ZIP 95746-425
Phone: (916) 600-5116
Fax: (916) 797-1583

The NPI 1225296676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2008 and was last updated on 6/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0203X	Radiology	Therapeutic Radiology	C37059	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A36467	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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