Louis Michael Schlickman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M7522 Issued in ID

Practice address

3080 E Gentry Way
Suite 200
Meridian, ID 83642-3013

Phone

(208) 884-3770

Fax

(541) 278-8360

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Meridian Adult Medicine, PLLC

  • Internal Medicine Physician
  • Meridian, ID
  • NPI 1619921202

  Internal Medicine

  NPD (past) Authorized official
• Keystone Center for Geriatrics LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Boise, ID
  • NPI 1376211268
  NPD (past)
• West Valley Medical Group LLC

  • Internal Medicine Physician
  • Caldwell, ID
  • NPI 1871673798

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1629022116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 E GENTRY WAY",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423013",
            "telephone_number": "208-884-3770",
            "fax_number": "541-278-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 E GENTRY WAY",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423013",
            "telephone_number": "208-884-3770",
            "fax_number": "541-278-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLICKMAN",
        "first_name": "LOUIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M7522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00191484",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805294800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "201188708",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Sbarcea
• Hayley Nicole Schank, CNP
• Adam Schatz, MD
• Jacob Schaub, DO
• Dillon Douglas Schenkel, PHARMD
• Kristine Jo Schmidt, RDN
• Kristine M Schmier, PHARMD
• Chelsea Schoenfelder, MPH, RD, LD
• Eric LD Scholten, M.D.
• Michael Schomer, DPT

• All providers in Meridian, ID
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.