Karen S Sticka, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03041 Issued in TX

Practice address

804 NE Mall Blvd
Hurst, TX 76053-4653

Phone

(817) 595-4500

Fax

(817) 595-4505

NPI assigned

Nov 12, 2008

Sex

Female

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

Other names 1

• Karen Hiam Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Skin MD PA

  • Dermatology Physician
  • North Richland Hills, TX
  • NPI 1215259452
  Medicare reassignment
• Dermatology & Cutaneous Surgery PLLC

  • Dermatology Physician
  • Arlington, TX
  • NPI 1245540202
  NPD (past)

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780838136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 NE MALL BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534653",
            "telephone_number": "817-595-4500",
            "fax_number": "817-595-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 NE MALL BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534653",
            "telephone_number": "817-595-4500",
            "fax_number": "817-595-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8015 South Cooper Street",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "76001",
            "country_code": "US",
            "telephone_number": "817-453-4440",
            "fax_number": "817-453-7755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Eureka St Ste A",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760866521",
            "country_code": "US",
            "telephone_number": "817-595-4500",
            "fax_number": "817-595-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICKA",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297241601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297241602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00991907",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "HIAM",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth C Stanley, CCC-SLP
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• Stevan Cordas DO, PA
• Madisen B Stiles
• Stephen Stipe, LCSW
• Stone Ranch Dental Group, PLLC
• Mickenzie Stone, OTR
• Strawberry Creek Outreach Center

• Physician Assistant in Hurst, TX
• Providers in Hurst, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.