Organization Active NPI

Linda L. Schicker MD PLLC

  • Radiation Oncology Physician
  • Rome, NY
National Provider Identifier
1508102211
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
LINDA L. SCHICKER MD PLLC
Practice address
107 E Chestnut St
Suite 103
Rome, NY 13440-2834
Phone
(315) 338-0897
Fax
(315) 336-6375
NPI assigned
Dec 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Dr. Linda L Schicker, MD
Title
Ceo
Phone
(315) 269-4902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

107 E Chestnut St
Suite 103
Rome, NY 13440-2834

Mailing address

107 E Chestnut St
Suite 103
Rome, NY 13440-2834
Phone (315) 338-0897

Other identifiers 2

IdentifierTypeStateIssuer
01786323MedicaidNY
56745BOtherNYMEDICARE

Other names 1

  • Mohawk Valley Radiation Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

107 E Chestnut St
Ste 103
Rome, NY 13440
Phone (315) 338-0897

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1508102211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E CHESTNUT ST",
            "address_2": "SUITE 103",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402834",
            "telephone_number": "315-338-0897",
            "fax_number": "315-336-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E CHESTNUT ST",
            "address_2": "SUITE 103",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402834",
            "telephone_number": "315-338-0897",
            "fax_number": "315-336-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA L. SCHICKER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "SCHICKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-269-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01786323",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "56745B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohawk Valley Radiation Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.