Maria Victoria Kilayko Sicangco, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME71360 Issued in FL

Practice address

1301 Plantation Island Dr S
105B
St Augustine, FL 32080-3108

Phone

(904) 461-8906

Fax

(904) 461-8907

NPI assigned

May 8, 2007

Sex

Female

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

Other names 1

• Maria Victoria Kilayko Sicangco Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: office@harbourislandpediatrics.directbygreenway.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73764

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.

• Harbour Island Pediatrics

  • Pediatrics Physician
  • St Augustine, FL
  • NPI 1790086429
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1508079484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 MONTILLA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322465526",
            "telephone_number": "904-998-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S",
            "address_2": "105B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803108",
            "telephone_number": "904-461-8906",
            "fax_number": "904-461-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILAYKO SICANGCO",
        "first_name": "MARIA VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME71360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278377100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA VICTORIA",
            "last_name": "SICANGCO",
            "middle_name": "KILAYKO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shahmir Akbar Khan, DDS
• Anwar S Khokhar, MD
• Taylor Kieffer, AUD
• Erica J Kiernan, PT/OT
• Kihealth Inc.
• Anthony H Kim, O.D.
• Eric G Kim, DO
• Carla Kimps, OTR LCHT
• Linda Lou Kindsvatter, OD
• Gary Douglas Kines, D.C.

• Pediatrics Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.