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Michael Schicker, DO — NPI 1861774291, Ponderay, ID | NPI Central

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NPI 1861774291

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Michael Schicker, DO

NPI 1861774291 · Sports Medicine (Orthopaedic Surgery) Physician · Ponderay, ID

Provider details

NPI number: 1861774291
Entity type: Individual
Primary specialty: Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: O0947 (ID)

Specialties & taxonomies

Sports Medicine (Orthopaedic Surgery) PhysicianPrimary207XX0005XLicense O0947 (ID)
Allopathic & Osteopathic Physicians
Pediatric Orthopaedic Surgery Physician207XP3100XLicense O0947 (ID)
Allopathic & Osteopathic Physicians
Pediatric Orthopaedic Surgery Physician207XP3100XLicense OP60637340 (WA)
Allopathic & Osteopathic Physicians
Sports Medicine (Orthopaedic Surgery) Physician207XX0005XLicense OP60637340 (WA)
Allopathic & Osteopathic Physicians

Practice location

30544 Highway 200 Ste 102

Ponderay, ID 83852

Phone: (208) 265-9817

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

30544 Highway 200 Ste 102

Ponderay, ID 83852-5005

Additional practice locations (1)

714 W Pine St Bldg C
Newport, WA 99156-9046
Phone: (509) 447-3139

Registry dates

Enumerated: 2011-09-12
Last updated: 2025-09-10
Certified: 2025-09-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.