Dr Mike Dorcik, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.006377 Issued in OH

Legal business name

DR MIKE DORCIK, PA

Practice address

12511 McCully Dr
Biloxi, MS 39532-9091

Phone

(419) 602-1451

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Dorcik, DO

Title

President

Phone

(419) 602-1451

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295915320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 MCCULLY DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395329091",
            "telephone_number": "419-602-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 MCCULLY DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395329091",
            "telephone_number": "419-602-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MIKE DORCIK, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DORCIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-602-1451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "MS",
            "license": "14179",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.006377",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MS",
            "license": "14179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11996252",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114475",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D Dorcik, DO
• Murl D Dotson, PA-C
• Douglas G. Cosentino, PLLC
• Amie Douglas
• Teranika Douglas, PMHNP-BC
• Dr. Helen Cardaciotto, DMD, Family Dentistry, LLC
• Dragon Pediatric Therapy
• Kalyn McNair Dragon, DPT
• Jo Ann Drennan, APRN
• Scott Drennan, APRN

• All providers in Biloxi, MS
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.