Individual provider Active NPI

Joan Martich Bickerton, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1396728952
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0046027 Issued in FL
Practice address
3100 Conway Rd
Orlando, FL 32812-7331
Phone
(407) 380-2216
Fax
(407) 380-2710
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0046027 FL Primary

Addresses

Primary practice location

3100 Conway Rd
Orlando, FL 32812-7331

Mailing address

3100 Conway Rd
Orlando, FL 32812-7331
Phone (407) 380-2216

Other identifiers 1

IdentifierTypeStateIssuer
P00088425OtherFLMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000619 FL Practitioner - Family Practice 2860391117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0046027FLMDFamily Medicine Physician
46027FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince Jun 10, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc Past Accepting new patients

Locations

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

3100 Conway Rd
Orlando, FL 32812
Phone (407) 380-2216

Interoperability endpoints

  • Direct secure messaging: jmartichbickerton25572@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1396728952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127331",
            "telephone_number": "407-380-2216",
            "fax_number": "407-380-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127331",
            "telephone_number": "407-380-2216",
            "fax_number": "407-380-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTICH BICKERTON",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0046027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00088425",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.