Organization Active NPI

Michael a Cicero MD PC

  • Specialist
  • Franklin, VA
National Provider Identifier
1790865178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MICHAEL A CICERO MD PC
Practice address
106 Fairview Dr Ste C
Franklin, VA 23851-1247
Phone
(757) 569-9397
Fax
(757) 569-0353
NPI assigned
Oct 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
Dr. Micheal Anthony Cicero, MD
Title
President
Phone
(757) 569-9397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X VA Primary

Addresses

Primary practice location

106 Fairview Dr Ste C
Franklin, VA 23851-1247

Mailing address

106 Fairview Dr Ste C
Franklin, VA 23851-1247
Phone (757) 569-9397

Other identifiers 4

IdentifierTypeStateIssuer
823584OtherVAMAMSI
048159OtherVAANTHEM
67041OtherVAOPTIMA
890505GMedicaidNC

National Provider Directory

National Provider Directory

Locations

106 Fairview Dr
Ste C
Franklin, VA 23851
Phone (757) 569-9397

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790865178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FAIRVIEW DR STE C",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511247",
            "telephone_number": "757-569-9397",
            "fax_number": "757-569-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FAIRVIEW DR STE C",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511247",
            "telephone_number": "757-569-9397",
            "fax_number": "757-569-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A CICERO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CICERO",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-569-9397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "823584",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "048159",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "67041",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890505G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

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.