Active NPI
Arthur Sterling Ticknor, M.D.
- Family Medicine Physician
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101262588
- Practice address
- 160 Merchant St Ste 100
Winchester, VA 22603-4772 - Phone
- (540) 536-5560
- Fax
- (540) 536-5561
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101262588 | VA | Primary |
Addresses
Primary practice location
160 Merchant St Ste 100
Winchester, VA 22603-4772
Mailing address
220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104997774 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aticknor312703@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Rochester School of Medicine and Dentistry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 Merchant St
Winchester, VA 22603-4772
Phone (540) 536-5560
Hospital & facility affiliations
- Valley Health Home Health
- Winchester Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101262588 | VA | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Medical Center | Current | Accepting new patients | |
| Valley Physician Enterprise Inc | Family Medicine | Current | Accepting new patients |
| Valley Physician Enterprise, Inc | Family Medicine | Current | Accepting new patients |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Winchester Medical Center | Family Medicine | Current | Accepting new patients |
| Winchester Medical Center | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Family Medicine | Past | Accepting new patients |
Locations
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
220 Campus Blvd
Ste 100
Winchester, VA 22601
160 Merchant St
#100
Winchester, VA 22603
Phone (540) 536-5400
611 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-5500
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
1440 Amherst St
Winchester, VA 22601
Phone (540) 450-3339
Interoperability endpoints
- https://epicproxy.et1320.epichosted.com/FHIRProxy/api/FHIR/R4
- aticknor312703@valleyhealth.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
- Family Medicine Physician
- Winchester, VA
- NPI 1922543677
-
- Obstetrics & Gynecology Physician
- Winchester, VA
- NPI 1255222535
-
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Winchester, VA
- NPI 1538142005
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614988800000",
"number": "1104997774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CAMPUS BLVD STE 100",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012888",
"telephone_number": "540-536-5100",
"fax_number": "540-536-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MERCHANT ST STE 100",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226034772",
"telephone_number": "540-536-5560",
"fax_number": "540-536-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICKNOR",
"first_name": "ARTHUR",
"middle_name": "STERLING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101262588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104997774",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aticknor312703@soc.inova.org",
"affiliation": "N",
"address_1": "160 Merchant St Ste 100",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226034772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.