Nikola Bicak

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

307 Issued in WV

Legal business name

NIKOLA BICAK

Practice address

1837 Ripley Rd
Ripley, WV 25271-5113

Phone

(304) 372-3788

Fax

(304) 372-1513

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lori L Bicak

Title

Billing

Phone

(304) 372-3788

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nikola Bicak

  • Podiatrist
  • Ripley, WV
  • NPI 1093710527

  O20100930049970

  Same enrollment

Locations

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1417130766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252710796",
            "telephone_number": "304-372-3788",
            "fax_number": "304-372-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 RIPLEY RD",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252715113",
            "telephone_number": "304-372-3788",
            "fax_number": "304-372-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKOLA BICAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "BICAK",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "304-372-3788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099957000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Ripley, WV
• Providers in Ripley, WV by specialty
• Foot & Ankle Surgery Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.