Organization Active NPI

Doyle R. Sickles, MD Inc.

  • Orthopaedic Surgery Physician
  • Clarksburg, WV
National Provider Identifier
1558388397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
12344 Issued in WV
Legal business name
DOYLE R. SICKLES, MD INC.
Practice address
300 Davisson Run Road
Suite 101
Clarksburg, WV 26301
Phone
(304) 624-6000
Fax
(304) 624-6039
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Doyle Russell Sickles, M.D.NPI 1609062157
Title
Physician
Phone
(304) 624-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 12344 WV Primary

Addresses

Primary practice location

300 Davisson Run Road
Suite 101
Clarksburg, WV 26301

Mailing address

300 Davisson Run Road
Suite 101
Clarksburg, WV 26301
Phone (304) 624-6000

Other identifiers 1

IdentifierTypeStateIssuer
99385000MedicaidWV

National Provider Directory

National Provider Directory

Locations

300 Davisson Run Rd
Ste 101
Clarksburg, WV 26301
Phone (304) 326-0092

300 Davisson Run Rd
#101
Clarksburg, WV 26301
Phone (304) 624-6000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558388397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DAVISSON RUN ROAD",
            "address_2": "SUITE 101",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-624-6000",
            "fax_number": "304-624-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DAVISSON RUN ROAD",
            "address_2": "SUITE 101",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-624-6000",
            "fax_number": "304-624-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOYLE R. SICKLES, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SICKLES",
        "authorized_official_first_name": "DOYLE",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-624-6000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "12344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99385000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.