WILLIAM J. LICK MD – NPI #1033506274
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

WILLIAM LICK is a physician located in ATLANTA, GA. NPPES has assigned the NPI number 1033506274 to WILLIAM LICK on April 24, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name CORKY LICK. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 5 years ago on Oct 10, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLIAM LICK below.

NPI Profile for
WILLIAM J. LICK

NPI Number
1033506274
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILLIAM J. LICK
Other Name: CORKY LICK
Credentials
MD
Primary location
550 PEACHTREE ST NE
ATLANTA, GA 30308
Phone: (404) 686-3845 Fax:
2 Other location(s):
263 Farmington Ave
Farmington, CT 06032
Phone: (800) 679-2000
4300 Marketpointe Dr Ste 100
Minneapolis, MN 55435-5435
Phone: (952) 835-9880
Fax: (952) 857-1554
Mailing address
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435-5435
Phone: (952) 835-9880 Fax: (952) 857-1554
Sole Proprietor
No
Updated
Certification Date
Oct 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
CT 61361

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
WILLIAM LICK is affiliated with the following medical group(s):
  • HOSPITAL
    • MAPLE GROVE HOSPITAL
      9875 HOSPITAL DRIVE
      MAPLE GROVE, MN 55369
    • NORTH MEMORIAL HEALTH HOSPITAL
      3300 OAKDALE NORTH
      ROBBINSDALE, MN 55422

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.