SHAUN MICHAEL STICKLEY M.D. NPI 1528289808

NPI Information

  • NPI: 1528289808
  • Provider Name: SHAUN MICHAEL STICKLEY, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1325 EASTMORELAND AVE STE 310
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 272-6010

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NPI Details

Shaun Michael Stickley, M.D. is a vascular surgery surgery in Memphis, TN with 21 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Shaun Michael Stickley, M.D. NPI is 1528289808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1325 EASTMORELAND AVE STE 310
MEMPHIS, TN
ZIP 38104-544
Phone: (901) 272-6010
Fax: (901) 266-6468

The NPI 1528289808 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic (HCPCS:G2012)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Revision of hemodialysis graft (HCPCS:36832)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch (HCPCS:36246)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/2/2007 and was last updated on 3/29/2018.

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
12086S0129XSurgeryVascular Surgery096419OHIONo
22086S0129XSurgeryVascular Surgery48394TENNESSEEYes

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: 11/21/2025

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