George S Sickles

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

004746 Issued in KY

Practice address

5120 Dixie Hwy
Suite 103
Louisville, KY 40216-1702

Phone

(502) 587-1236

Fax

(502) 587-0318

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: george.sickles@eandbortho.directbygreenway.com

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1346250883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY",
            "address_2": "STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161702",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161702",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLES",
        "first_name": "GEORGE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "004746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sibbie, APRN
• Bruce Sibert, RPH
• Janice Sibert, RPH
• Maria Lynn Sica
• Gerard V Siciliano, M.D.
• Raghunath Siddagangaiah
• Kamran Siddiqi, MD
• Siddiqui MD & Associates PSC
• Arifa Siddiqui, M.D.
• Nasiruddin A Siddiqui, M.D.

• Physical Medicine & Rehabilitation Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Medicine & Rehabilitation Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.