Shari Orlicek Medford, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L1133 Issued in TX

Practice address

17 Care Cir
Amarillo, TX 79124-2105

Phone

(806) 468-6277

Fax

(806) 468-7174

NPI assigned

Jul 24, 2006

Last updated

Mar 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fletcher and O'Grady Pediatric Associates

  dba Amarillo Childrens Clinic

  • Pediatrics Physician
  • Amarillo, TX
  • NPI 1639197510
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1811919301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CARE CIR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242105",
            "telephone_number": "806-468-6277",
            "fax_number": "806-468-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CARE CIR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242105",
            "telephone_number": "806-468-6277",
            "fax_number": "806-468-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDFORD",
        "first_name": "SHARI",
        "middle_name": "ORLICEK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L1133",
            "primary": true
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "L1133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092290803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092290802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061073503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092290801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061073501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meadowbrook Counseling Center
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• Med Southwest, PLLC (MyEyeDr.)
• Med-Trans Corporation
• Med-Trans Corporation
• Medi-Park Pharmacy
• Medical and Health Alliance
• Medical Center Eye Associates, P.a.
• Medical Staffing Network, Inc.
• Jessica Medina

• Pediatrics Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.