Active NPI
Gregory S Sikorski, P.A.
- Physician Assistant
- Riverview, FL
National Provider Identifier
1811321870
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101533
- Practice address
- 11954 Boyette Rd
Riverview, FL 33569-5601 - Phone
- (813) 672-2243
- NPI assigned
- Aug 27, 2013
- Last updated
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101533 | FL | Primary |
Addresses
Primary practice location
11954 Boyette Rd
Riverview, FL 33569-5601
Mailing address
11954 Boyette Rd
Riverview, FL 33569-5601
Phone (813) 672-2243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101533 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1811321870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11954 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695601",
"telephone_number": "813-672-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11954 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695601",
"telephone_number": "813-672-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIKORSKI",
"first_name": "GREGORY",
"middle_name": "S",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-27",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.