DR. BARBARA MIKICKI M.D. NPI 1518090794

NPI Information

NPI: 1518090794
Provider Name: DR. BARBARA MIKICKI, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
560 FIRE STATION RD
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 358-4146
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DR. Barbara Mikicki, M.D. is a general practice in Clarksville, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Barbara Mikicki, M.D. NPI is 1518090794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

560 FIRE STATION RD
CLARKSVILLE, TN
ZIP 37043-016
Phone: (931) 358-4146
Fax: (931) 358-4147

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/8/2007.

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	208D00000X	General Practice		30631	KENTUCKY	No
2	208D00000X	General Practice		MD0000026924	TENNESSEE	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	F84511	MEDICARE UPIN
2	3092287	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
3	4021038	OTHER	TENNESSEE	BC BS OF TN
4	1790001	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY

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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