Shelley Dolkas Lickl (NPI# 1760416572, PAC ID# 3375532203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1760416572 |
| PAC ID by PECOS | 3375532203 |
| Professional Enrollment ID | I20090508000286 |
| Full Name | Shelley Dolkas Lickl |
| Organization Legal Name | NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC |
| Address |
1 Hoag Dr Newport Beach CA 92663-4162 |
| Phone Number | 9496453534 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1850285735 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 1 Hoag Dr, Newport Beach, CA 92663-4162 | 9496453534 | NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC |
| Organization Legal Name | NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Boyd Baker | Interventional Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Jennifer M-j Overstreet | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 19582 Beach Blvd, Suite 160, Huntington Beach, CA 92648-2996 |
| Nina R Woldenberg | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Sarah Y Chan | Physician Assistant | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Shaya Ghazinoor | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Zaihleen Shariff Keller | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Scott Thomas Williams | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Karence Chan | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Saghi S Brown | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| January K Lopez | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Street Address |
1 HOAG DR |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92663-4162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Gray | Hospitalist | Pacific Hospitalist Associates | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Christopher Boyd Baker | Interventional Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Brian N Kong | Hospitalist | Pacific Hospitalist Associates | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Nhat Quang Tran | Hospitalist | Pacific Hospitalist Associates | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Bhavini Jaiswal | Internal Medicine | Newport Critical Care Physicians | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Allyson A Hoppe | Hospitalist | Pacific Hospitalist Associates | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Jadwiga Close | Hospitalist | Pacific Hospitalist Associates | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Nina R Woldenberg | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Vincent D Nguyen | Hospice/palliative Care | Prohealth Partners, A Medical Group | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Tommy J Lee | Hospitalist | Pacific Hospitalist Associates | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Freedman | Urology | 401 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-0000 | |
| Sharon J Lucas | Clinical Social Worker | 34 Seabird Ct, Newport Beach, CA 92663-2109 | |
| Monica J Lucas | Physical Therapy | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 | |
| Bonnie Michelle Austin | Physical Therapy | Superior Wound Care and Physical Therapy Inc | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 |
| Jean O Galloway | Physical Therapy | Superior Rehabilitation Center, Inc | 1441 Superior Ave, Newport Beach, CA 92663-2700 |
| Michael W Summerlin | Psychologist, Clinical | 1441 Superior Ave, Suite F, Newport Beach, CA 92663-2704 | |
| Michael John Thorpe | Physical Therapy | Pegasus Physical Therapy Solutions, Inc. | 1419 Superior Ave, Suite 4, Newport Beach, CA 92663-2723 |
| Rafael A Penunuri | Family Medicine | 1419 Superior Ave, Suite 1, Newport Beach, CA 92663-2723 | |
| Jill G Byers | General Surgery | 320 Superior Ave, Suite 110, Newport Beach, CA 92663-2740 | |
| Robert I Hewlett | Pulmonary Disease | Newport Pulmonary Associates | 320 Superior Ave, Suite 200, Newport Beach, CA 92663-2741 |
| Find all physicians in zip 92663 | |||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEWPORT BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shelley Dolkas Lickl.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.