Individual provider Active NPI

Courtney Lynn Sick, M.D.

  • Obstetrics & Gynecology Physician
  • Conway, AR
National Provider Identifier
1437477189
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E9213 Issued in AR
Practice address
2300 Robinson Ave
Conway, AR 72034-4945
Phone
(501) 548-6100
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E9213 AR Primary

Addresses

Primary practice location

2300 Robinson Ave
Conway, AR 72034-4945

Mailing address

2300 Robinson Ave
Conway, AR 72034-4945
Phone (501) 548-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20150803001189 AR Practitioner - Obstetrics/Gynecology 8224342381 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Regional Medical Center IncGroup PAC ID 3173428414, 129 clinicians

Practice addresses (Care Compare)

2300 Robinson Ave
Conway, AR 72034-4945
Phone (501) 548-6100

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9213ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Obhg Arkansas West PA Obstetrics & Gynecology CurrentSince May 8, 2023 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Aug 1, 2020 Accepting new patients
Conway Regional Medical Center Inc Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
St Bernards Hospital Inc. CurrentSince Nov 15, 2022 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

2300 Robinson Ave
Conway, AR 72034
Phone (501) 548-6100

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1437477189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344945",
            "telephone_number": "501-548-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344945",
            "telephone_number": "501-548-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICK",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E9213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.