Organization Active NPI

Sicard Surgical Solutions

  • Surgical Physician Assistant
  • Frederick, MD
National Provider Identifier
1790168250
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SICARD SURGICAL SOLUTIONS
Practice address
5257 Buckeystown Pike
#244
Frederick, MD 21704-7535
Phone
(240) 543-5182
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Mitchel E Sicard, CSANPI 1063892503
Title
President/Csa
Phone
(240) 543-5182

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

5257 Buckeystown Pike
#244
Frederick, MD 21704-7535

Mailing address

2904 White Oak St
Highlands Ranch, CO 80129-4641
Phone (240) 543-5182

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1790168250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 WHITE OAK ST",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801294641",
            "telephone_number": "240-543-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 BUCKEYSTOWN PIKE",
            "address_2": "#244",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047535",
            "telephone_number": "240-543-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICARD SURGICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "SICARD",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CSA",
        "authorized_official_telephone_number": "240-543-5182",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.