Active NPI
Michael Sikirica, MD
- Legal Medicine
- Waterford, NY
National Provider Identifier
1376784991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 222488
- Practice address
- 50 Broad St
Waterford, NY 12188-2414 - Phone
- (518) 237-3211
- Fax
- (518) 237-7423
- NPI assigned
- Mar 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 222488 | NY | Primary |
Addresses
Primary practice location
50 Broad St
Waterford, NY 12188-2414
Mailing address
50 Broad St
Waterford, NY 12188-2414
Phone (518) 237-3211
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222488 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1376784991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BROAD ST",
"city": "WATERFORD",
"state": "NY",
"postal_code": "121882414",
"telephone_number": "518-237-3211",
"fax_number": "518-237-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BROAD ST",
"city": "WATERFORD",
"state": "NY",
"postal_code": "121882414",
"telephone_number": "518-237-3211",
"fax_number": "518-237-7423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIKIRICA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "222488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.