MEDICARE: DANIEL T SICKING MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	9300396	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861678120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL T SICKING MD PA

Provider Business Mailing Address
First Line	:	14341 NEW FALLS OF NEUSE STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-8292
Country	:	US
Telephone Number	:	919-562-4441
Fax Number	:	919-562-5779

Provider Business Practice Location Address
First Line	:	14341 NEW FALLS OF NEUSE STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-8292
Country	:	US
Telephone Number	:	919-562-4441
Fax Number	:	919-562-5779

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAN SICKING
Credential	:
Telephone Number	:	919-562-4441

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	01/24/2008

Similar Medicare Providers

1720169741 — RYAN C. GALLIGAN
Practice Location Address:

14341 NEW FALLS OF NEUSE , SUITE 104
RALEIGH, NC
27614-8292

Practice Phone: 919-562-5433
Practice Fax:

1023190915 — WAKEFIELD PEDIATRICS & ADOLESCENT MEDICINE,P.A.
Practice Location Address:

14341 NEW FALLS OF NEUSE , SUITE 122
RALEIGH, NC
27614-8292

Practice Phone: 919-570-7010
Practice Fax: 919-570-7020

1669427183 — DR. MILTON JESUS SEVILLA M.D., F.A.A.P.
Practice Location Address:

14341 NEW FALLS OF NEUSE RD. , SUITE 122
RA;EIGH, NC
27614-8292

Practice Phone: 919-570-7010
Practice Fax: 919-570-7020

1033806823 — TANNER HOLT
Practice Location Address:

11001 RAVEN RIDGE RD STE 101
RALEIGH, NC
27614-6688

Practice Phone: 423-817-5522
Practice Fax:

1477320802 — DR. CAMERON & ASSOCIATES OF RALEIGH I, PLLC
Practice Location Address:

2800 WAKEFIELD PINES DR STE 110
RALEIGH, NC
27614-8597

Practice Phone: 919-570-0180
Practice Fax:

1558293761 — OLIVER HOLMES LCMHCA
Practice Location Address:

11428 ROYAL AMBER WAY
RALEIGH, NC
27614-9896

Practice Phone: 919-213-1331
Practice Fax:

Directions to “DANIEL T SICKING MD PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.