Sidney Possick M.D.,P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME19498 Issued in FL

Legal business name

SIDNEY POSSICK M.D.,P.A.

Practice address

655 N Clyde Morris Blvd
Suite B
Daytona Beach, FL 32114-2321

Phone

(386) 252-5578

Fax

(386) 257-3660

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sidney Possick, M.D.

Title

President

Phone

(386) 252-5578

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1174851158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N CLYDE MORRIS BLVD",
            "address_2": "SUITE B",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142321",
            "telephone_number": "386-252-5578",
            "fax_number": "386-257-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N CLYDE MORRIS BLVD",
            "address_2": "SUITE B",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142321",
            "telephone_number": "386-252-5578",
            "fax_number": "386-257-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY POSSICK M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "POSSICK",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-252-5578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME19498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CM988A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Leigh Shumans
• Erin Siatkowski, ARNP
• Ellen Sibley, LCSW
• Umar Khalid Siddiqui, DO
• Steven Sidelsky, MD
• Brent David Sieger, MD
• Abigail Siegfried
• Sara Siegfried, ARNP
• Gerald Siennicki, PA
• Samantha Sigala

• Dermatology Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.