Mark E Sikorski, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101010095 Issued in MI

Practice address

16800 24 Mile Rd
Suite 4
Macomb, MI 48042-2990

Phone

(586) 786-1800

Fax

(586) 697-5386

NPI assigned

Jul 6, 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 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1427089341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 24 MILE RD",
            "address_2": "SUITE 4",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422990",
            "telephone_number": "586-786-1800",
            "fax_number": "586-697-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 24 MILE RD",
            "address_2": "SUITE 4",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422990",
            "telephone_number": "586-786-1800",
            "fax_number": "586-697-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORSKI",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2720270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shugababies
• Omama Siddiqui, MD
• Gurbahar Singh Sidhu
• Michelle L. Siev, LLPC
• Signature Home Care LLC
• Scott Michael Bruce Sikorski, D.O.
• Bashar Sileewa
• Kathleen Lenore Simenton, OTR
• Charanjit Kaur Singh, RPH
• Tejinder Singh, PMHNP-BC

• Family Medicine Physician in Macomb, MI
• Providers in Macomb, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.