DWIGHT RAYMOND STICKNEY (NPI# 1225296676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225296676 |
Entity Type | Individual |
Full Name | DWIGHT RAYMOND STICKNEY |
Credential | M.D. |
Practice Address |
5275 Ashby Ln Granite Bay CA 95746-9425 |
Practice Telephone | 9166005116 |
Practice Fax Number | 9167971583 |
Mailing Telephone | 9166005116 |
Mailing Fax Number | 9167971583 |
Enumeration Date | 2008-06-01 |
Last Update Date | 2008-06-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
C37059 | CA | Allopathic & Osteopathic Physicians |
Street Address |
5275 ASHBY LN |
City | GRANITE BAY |
State | CA |
Zip Code | 95746-9425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760901672 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5525 Stallman Cavitt Road, Granite Bay, CA 95746 | 2017-09-12 |
1255787719 | Gurveen Atwal | Counselor | 511 Carthage Court, Granite Bay, CA 95746 | 2016-05-13 |
1407219181 | Sarah Choi Allen | General Acute Care Hospital | 8941 Wexford Circle, Granite Bay, CA 95746 | 2016-03-31 |
1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
1467726968 | Fareeha Bushra Sattar | Family Medicine | 9486 Swan Lake Dr, Granite Bay, CA 95746 | 2012-02-29 |
1578854592 | Meera Shah | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746 | 2011-04-25 |
1013151042 | Julia Margaret Black | Marriage & Family Therapist | 6049 Douglas Blvd., Suite 19, Granite Bay, CA 95746 | 2009-04-21 |
1366622532 | Marina V Milstein | Dentist | 7095 Douglas Blvd, Suite A, Granite Bay, CA 95746 | 2007-11-05 |
1154527398 | Sandra Kay Baker | Social Worker | 9123 Oakhollow Ct, Granite Bay, CA 95746 | 2007-06-25 |
1497965107 | Barry Hoffman | Dentist | 9035 Camino Del Avion, Granite Bay, CA 95746 | 2007-05-23 |
Find all providers in zip 95746 |
Taxonomy Code | 2085R0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Therapeutic Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831692243 | Joseph Vernon Hodgkins | Radiology | 5901 E 7th St Bldg 165, Long Beach, CA 90822-5201 | 2018-03-12 |
1487811824 | Brian D. Berger, Md, Pa | Radiology | 1341 David St, #111, San Mateo, CA 94403-1916 | 2008-05-22 |
1174664890 | John Charles Clark | Radiology | 1325 Bambury Ct, Redding, CA 96001-1339 | 2007-02-08 |
1598837569 | Clayton Chen | Radiology | 60mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2006-11-15 |
1861587727 | Steve Byron Benak Jr. | Radiology | 7024 N. Park Ridge Court, Riverbank, CA 95367 | 2006-10-04 |
1609842392 | Harvey S Frey | Radiology | 552 12th St, Santa Monica, CA 90402-2908 | 2006-02-23 |
1356322705 | Florian H Ploch | Radiology | 1020 Nut Tree Rd, #190, Vacaville, CA 95687-4100 | 2005-11-10 |
1922091263 | Victor G Schweitzer | Radiology | 2985 Sycamore Dr, Simi Valley, CA 93065-1201 | 2005-08-23 |
1528460334 | Reinhard Wilhelm Schulte | Radiology | 9834 Genesee Ave, Suite 110, La Jolla, CA 92037-1223 | 2014-09-23 |
1659787596 | Jay Gerard Tassin | Radiology | 675 Camino De Los Mares, Suite 400, San Clemente, CA 92673-2835 | 2014-07-10 |
Find all providers with the same taxonomy |
City | GRANITE BAY |
Zip Code | 95746 |
Please comment or provide details below to improve the information on DWIGHT RAYMOND STICKNEY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.