Mark Alan Schickler, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

174 Issued in CT

Practice address

2409 Main St
Bridgeport, CT 06606-5324

Phone

(203) 334-6955

Fax

(203) 334-2851

NPI assigned

Aug 31, 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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1396856548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065324",
            "telephone_number": "203-334-6955",
            "fax_number": "203-334-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065324",
            "telephone_number": "203-334-6955",
            "fax_number": "203-334-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICKLER",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "567628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "030000174CT02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "001931",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4070447",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele A Sbrega, APRN
• Michael Schaedler, PHARMD, BCPS, BCOP
• Haley Schaefer, DPT
• Jodi A Schaschl, PA-C
• Mary Schiano
• Mark J Schiff, DMD
• Sharon Schirmann
• Domenico Schirripa, MD
• Edward M Schlaeger, LCSW
• Allen P Schlein, MD

• Podiatrist in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.