David J Stricklin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036062936 Issued in IL

Practice address

1340 Il Highway 1 Ste E
Carmi, IL 62821

Phone

(618) 380-9321

Fax

(618) 380-9322

NPI assigned

Mar 16, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1881663250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PINE ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301634",
            "telephone_number": "618-273-3361",
            "fax_number": "618-273-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 IL HIGHWAY 1 STE E",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "62821",
            "telephone_number": "618-380-9321",
            "fax_number": "618-380-9322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carmi",
            "state": "IL",
            "postal_code": "628214824",
            "country_code": "US",
            "telephone_number": "618-382-4181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLIN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.062936",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036062936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370914806002",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Erin Street, LPTA
• Clint T Taylor, OD
• Kathy Lynn Taylor, MSN-FNP
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• Patricia Danielle Trout, CCC-SLP

• Internal Medicine Physician in Carmi, IL
• Providers in Carmi, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.