JONATHAN TICKU M.D. – NPI #1922259589
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
JONATHAN TICKU is a physician located in LA CROSSE, WI. NPPES has assigned the NPI number 1922259589 to JONATHAN TICKU on October 01, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology
The NPI profile was previously updated about 5 years ago on Oct 27, 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 JONATHAN TICKU below.
NPI Profile for
JONATHAN TICKU
(more than 17 years ago)
LA CROSSE, WI 54601 Phone: (608) 785-0940 Fax:
1 Other location(s):
suite 1102
Orlando, FL 32819-8040
Phone: (321) 843-5500
Fax: (321) 843-5550
ROCHESTER, MN 55905-0001 Phone: (608) 785-0940 Fax:
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.
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 |
|---|---|---|
| 207RH0003X - Internal Medicine / Hematology & Oncology (Primary) |
WI | 61177 |
| 207R00000X - Internal Medicine |
FL | ME105784 |
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.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
-
800 WEST AVE S,
LA CROSSE, WI 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JONATHAN TICKU is affiliated with the following medical group(s):
- HOSPITAL
- MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC700 WEST AVENUE SOUTH
LA CROSSE, WI 54601 - MAYO CLINIC HLTH SYSTM FRANCISCAN HLTHCARE SPARTA310 W MAIN ST
SPARTA, WI 54656 - TOMAH MEMORIAL HOSPITAL501 GOPHER DR
TOMAH, WI 54660 - VETERANS MEMORIAL HOSPITAL40 1ST STREET SE
WAUKON, IA 52172 - WINNESHIEK MEDICAL CENTER901 MONTGOMERY STREET
DECORAH, IA 52101
- MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC700 WEST AVENUE SOUTH
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