Dwight Raymond Stickney, M.D.

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

C37059 Issued in CA

Practice address

5275 Ashby LN
Granite Bay, CA 95746-9425

Phone

(916) 600-5116

Fax

(916) 797-1583

NPI assigned

Jun 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiological Associates of Sacramento Medical Group Inc.

  dba Urology Associates of Northern California

  • Urology Physician
  • Sacramento, CA
  • NPI 1124267828
  NPD (past)

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212278400000",
    "number": "1225296676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 ASHBY LN",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469425",
            "telephone_number": "916-600-5116",
            "fax_number": "916-797-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 ASHBY LN",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469425",
            "telephone_number": "916-600-5116",
            "fax_number": "916-797-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKNEY",
        "first_name": "DWIGHT",
        "middle_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-01",
        "last_updated": "2008-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "CA",
            "license": "C37059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serina Sperduto
• Spine & Nerve Diagnostic Center
• Amanda Splinter, NP
• Veronica Steiner
• Samantha Alexis Stethem
• Leslie Stone, M.A. LMFT
• Naomi Grace Helen Stoneman
• Raelynn Sturman
• Suprai Chiropractic Incorporated
• Sophia Suprai, D.C.

• Therapeutic Radiology Physician in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Therapeutic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; 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.