Individual provider Active NPI

Cherechi Godswill Sike, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Mifflintown, PA
National Provider Identifier
1851144430
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Family Practice Center(Mifflintown)
2813 Industrial Park Rd
Mifflintown, PA 17059
Phone
(717) 436-8283
Fax
(717) 436-8351
NPI assigned
Apr 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Family Practice Center(Mifflintown)
2813 Industrial Park Rd
Mifflintown, PA 17059

Mailing address

Family Practice Center(Mifflintown)
2813 Industrial Park Rd
Mifflintown, PA 17059
Phone (717) 436-8283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809002395 PA Order and Referring Only - Family PracticePractitioner - Family Practice 5395283204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC PastSince Apr 14, 2024 Accepting new patients
Geisinger Clinic PastSince Apr 14, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1851144430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAMILY PRACTICE CENTER(MIFFLINTOWN)",
            "address_2": "2813 INDUSTRIAL PARK RD",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "17059",
            "telephone_number": "717-436-8283",
            "fax_number": "717-436-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAMILY PRACTICE CENTER(MIFFLINTOWN)",
            "address_2": "2813 INDUSTRIAL PARK RD",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "17059",
            "telephone_number": "717-436-8283",
            "fax_number": "717-436-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKE",
        "first_name": "CHERECHI",
        "middle_name": "GODSWILL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mifflintown, PA

Sources for this page

Verify at the official NPI Registry.