R Daniel Davis & Mark Schickler Family Podiatry Center

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

R DANIEL DAVIS & MARK SCHICKLER FAMILY PODIATRY CENTER

Practice address

2409 Main St
Bridgeport, CT 06606-5324

Phone

(203) 334-6955

Fax

(203) 334-2851

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Alan Schickler, DPM

Title

Partner

Phone

(203) 334-6955

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1619190055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065324",
            "telephone_number": "203-334-6955",
            "fax_number": "203-334-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065324",
            "telephone_number": "203-334-6955",
            "fax_number": "203-334-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DANIEL DAVIS & MARK SCHICKLER FAMILY PODIATRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "SCHICKLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-334-6955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Querette, LPN
• Kathryn J Quinn, MD
• Gianna Quintana, BS
• Marylin Quintero
• R Daniel Davis & Mark Schickler Family Podiatry Center
• Radiant Smiles Family and Aesthetic Dentistry, PLLC
• Radiation Oncology of Southern CT, LLC
• Ahmed Ragab, MD
• Yeganeh Ragati Haghi, PHARMD
• Rajeev Raghavan Pillai

• All providers in Bridgeport, CT
• Podiatrist in Connecticut

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