Michael O Stick, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME38518 Issued in FL

Practice address

256 SW Washington Ave
Madison, FL 32340-1982

Phone

(850) 973-4590

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Adel Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Adel, GA
  • NPI 1124042734
  NPD (past)
• Advanced Pediatric Specialists LLC

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1073046397
  NPD (past)
• Darling Emergency Physicians LLC

  • Emergency Medicine Physician
  • Waycross, GA
  • NPI 1306058573
  NPD (past)
• Emergency Medicine South LLC

  • Emergency Medicine Physician
  • Valdosta, GA
  • NPI 1194785170
  NPD (past)
• Georgia Emergency Associates

  • Emergency Medicine Physician
  • Rincon, GA
  • NPI 1528098290
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1912128232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2599 SW COUNTY ROAD 360A",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323408416",
            "telephone_number": "850-973-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SW WASHINGTON AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401982",
            "telephone_number": "850-973-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICK",
        "first_name": "MICHAEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME38518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "18556",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southland EMS at Madison, PLLC
• Spencerkare Transport LLC
• Waylon Spicer, COTA
• Stepping Stones Assisted Living Facility
• Stepping Stones Transportation
• Tiffany S Strickland, APRN-C
• Supportive Care LLC
• Tallahassee Memorial Healthcare Inc
• Tallahassee Orthopedic & Sports Physical Therapy
• The Arc Big Bend Inc.

• All providers in Madison, FL
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.