Regan Elizabeth Ciceklic, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115908 Issued in FL

Practice address

130 S Broadway Ave
Salem, OH 44460-3002

Phone

(220) 270-6900

NPI assigned

Nov 14, 2019

Last updated

Sep 15, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1518502483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S BROADWAY AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603002",
            "telephone_number": "220-270-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BROADWAY AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603002",
            "telephone_number": "220-270-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICEKLIC",
        "first_name": "REGAN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115908",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.010192RX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sue Chadbourne, MS, OTR/L
• Michael Chaffee, PT
• Matthew Cheng, MD
• Cherokee Rose Residential LLC
• Cheryl Pollak (Comprehensive Brace and Limb Center LLC)
• City of Salem
• Shawn Clark, DO
• Nancy Ann Climo, RPH
• Casie Close, RN
• Christina M Colarossi, O.D.

• Physician Assistant in Salem, OH
• Providers in Salem, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.