Active NPI
Ryan Todd Stikeleather, MD
- Student in an Organized Health Care Education/Training Program
- Greensboro, NC
National Provider Identifier
1154110708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- STIK-YF1EHN
- Practice address
- 301 E Wendover Ave Ste 400
Greensboro, NC 27401-1207 - Phone
- (336) 832-3150
- Fax
- (336) 832-3152
- NPI assigned
- May 1, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | STIK-YF1EHN | NC | Primary |
Addresses
Primary practice location
301 E Wendover Ave Ste 400
Greensboro, NC 27401-1207
Mailing address
Campus Box 7593
Chapel Hill, NC 27599-7593
Phone (919) 966-3172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250527002917 | NC | Order and Referring Only - Pediatric Medicine | 5496274037 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STIK-YF1EHN | NC | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- rstikeleather574945@directhisp.wakemed.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1154110708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CAMPUS BOX 7593",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997593",
"telephone_number": "919-966-3172",
"fax_number": "336-832-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E WENDOVER AVE STE 400",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011207",
"telephone_number": "336-832-3150",
"fax_number": "336-832-3152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIKELEATHER",
"first_name": "RYAN",
"middle_name": "TODD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "STIK-YF1EHN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.