David John Schickner, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J3597 Issued in TX

Practice address

1105 Wooded Acres Dr
Suite 240
Waco, TX 76710-4468

Phone

(254) 292-1090

Fax

(254) 292-1100

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1508975756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20635",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767020635",
            "telephone_number": "254-292-1090",
            "fax_number": "254-292-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR",
            "address_2": "SUITE 240",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104468",
            "telephone_number": "254-292-1090",
            "fax_number": "254-292-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICKNER",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110457201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Erica Scarbrough, OTR
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• Caroline Ann Schell
• William John Schiffer Jr., RPH
• Timothy Weldon Schiller, DO
• Blanche Kimberly Schilt, CRNA
• David Denise Schirle, DPM
• Marvin Charles Schlecte Jr., M.D.

• Specialist in Waco, TX
• Providers in Waco, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.