Malcolm Sickels MD P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301082661 Issued in MI

Legal business name

MALCOLM SICKELS MD P.C.

Practice address

210 Little Lake Dr Ste 10
Ann Arbor, MI 48103-6218

Phone

(734) 332-9936

Fax

(734) 864-0018

NPI assigned

Sep 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Malcolm Sickels, MDNPI 1841392354

Title

President

Phone

(734) 332-9936

Specialties & licenses 1

Addresses

Other names 1

• One Circle Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malcolm Sickels, MD

  • Family Medicine Physician
  • Ann Arbor, MI
  • NPI 1841392354
  Medicare reassignment NPD Authorized official
• Danielle Brianna-Douthat Douglas, CNM, FNP-BC

  • Advanced Practice Midwife
  • Ann Arbor, MI
  • NPI 1609225564
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1104928613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LITTLE LAKE DR STE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036218",
            "telephone_number": "734-332-9936",
            "fax_number": "734-864-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LITTLE LAKE DR STE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036218",
            "telephone_number": "734-332-9936",
            "fax_number": "734-864-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM SICKELS MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "SICKELS",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-332-9936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Circle Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayya Malakh, M.D.
• Preeti N Malani, MD
• Nasuh Mahmoud Malas, MD
• Brett Jordan Malbin, M.D.
• Chelsea Kathryn Malburg, NP
• Allura Malcolm
• Donald D Malcolm, MD
• Sami Nimer Malek, MD
• Kellie Nicole Malewski, LMSW, CAADC
• Anjani Maley, MD

• Family Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.