Active NPI
Michael a Cicero MD PC
- Specialist
- Franklin, VA
National Provider Identifier
1790865178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 823584 | Other | VA | MAMSI |
| 048159 | Other | VA | ANTHEM |
| 67041 | Other | VA | OPTIMA |
| 890505G | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Franklin, VA
- NPI 1740451244
-
- Pediatrics Physician
- Franklin, VA
- NPI 1962481937
-
- Pediatrics Physician
- Franklin, VA
- NPI 1851305510
-
- Physician Assistant
- Franklin, VA
- NPI 1235690660
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
- Ale Massenburg
- Sandra McClendon
- Allisa McKinney
- Mary Ann McLaurin, MD
- Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - Franklin, Armory Dr)
- Mid-Atlantic Womens Care PLC (OB-GYN Physicians. Inc.)
- Miller DDS of Franklin PC
- Daniel Robert Misseri, PTA
- Shelley Mitchell, PT, DPT
- Nebojsa Nash Mitrovic, MD
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.