DR. JAY THOMAS FICKLE III DO
NPI 1689293110
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 14, 2020
4190 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6690 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jay Thomas Fickle Iii Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAY THOMAS FICKLE III DO (NPI 1689293110) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1689293110
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JAY THOMAS FICKLE IIICredential: DO
Location Address4190 CITY AVEPhiladelphia, PA 19131-1626
Mailing Address703 Milledge RdAugusta, GA 30904-4349 · (706) 339-4740
Sole ProprietorNo
Enumeration DateApril 14, 2020
NPPES CertifiedApril 14, 2020
NPI 1689293110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4190 CITY AVE, Philadelphia, PA 19131

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Neuromusculoskeletal Medicine & OMM
4190 CITY AVE
PHILADELPHIA, PA 19131
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Otolaryngology
4190 CITY AVE, SUITE 526
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Fickle's NPI number?

The NPI number for Jay Fickle is 1689293110. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Jay Fickle located?

Jay Fickle practices at 4190 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6690.

What is Jay Fickle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jay Fickle was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.