Barbara Mikicki, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD0000026924 Issued in TN

Practice address

560 Fire Station Rd
Clarksville, TN 37043-4016

Phone

(931) 358-4146

Fax

(931) 358-4147

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acuintegra Inc

  • General Practice Physician
  • Clarksville, TN
  • NPI 1710124649
  NPD (past) Authorized official
• Owensboro Health Medical Group Inc

  dba Owensboro Health Medical Group Premier Primary Care

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518090794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 FIRE STATION RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434016",
            "telephone_number": "931-358-4146",
            "fax_number": "931-358-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 FIRE STATION RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434016",
            "telephone_number": "931-358-4146",
            "fax_number": "931-358-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKICKI",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD0000026924",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "30631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF TN",
            "identifier": "4021038",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middle Tennessee Imaging, LLC (Premier Radiology Clarksville)
• Middle Tennessee Imaging, LLC (Premier Radiology)
• Middle TN Home Health LLC. (ComForCare Home Care Clarksville)
• Crystal Middleton
• Kara Cheyenne Middleton
• Jacqueline Denise Milam, MD
• Tajaia S Miles, RBT
• Veronica Miles, MSW
• Kaylin Elizabeth Miley Weaver, OTD, OTR/L
• Abigail Miller, M.A.

• General Practice Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.