Active NPI
Steven Bickel, PA-C
- Surgical Physician Assistant
- Cookeville, TN
National Provider Identifier
1265480867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2235
- Practice address
- 228 W 4TH St
Suite 301
Cookeville, TN 38501-2488 - Phone
- (931) 372-0401
- Fax
- (931) 783-4269
- NPI assigned
- May 5, 2006
- Last updated
- Nov 8, 2012
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2235 | TN | Primary |
Addresses
Primary practice location
228 W 4TH St
Suite 301
Cookeville, TN 38501-2488
Mailing address
127 N Oak Ave
Suite D
Cookeville, TN 38501-2435
Phone (931) 783-5857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2235 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Emergency Services, LLC | Past | Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Surgical | Past | Accepting new patients |
| Medcentral Professional Foundation, LLC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Richland County, LTD | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
Surgical
-
- Emergency Medicine Physician
- Mansfield, OH
- NPI 1952341380
-
- Facial Plastic Surgery Physician
- Mansfield, OH
- NPI 1841476942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1265480867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N OAK AVE",
"address_2": "SUITE D",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012435",
"telephone_number": "931-783-5857",
"fax_number": "931-526-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 W 4TH ST",
"address_2": "SUITE 301",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012488",
"telephone_number": "931-372-0401",
"fax_number": "931-783-4269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKEL",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "2235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.