NPI age
14 years
Enumerated 2011-09-12
● Active
Type 1 · Individual
Michael David Schicker, DO
Schicker is 1 of 1 orthopaedic surgery providers in Ponderay and 1 of 25 in Idaho.
Primary specialty
Orthopaedic Surgery
Plus 3 subspecialties
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 25 active orthopaedic surgery providers in Idaho.
NPI age
14 years
↓ 5 yr below median (19 yr)
State licenses
2 states
Top 72% — 28% of peers are multi-state
Subspecialties
1
In the 44% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-09Enumerated in NPPES
2011
2026
Where they practice
Practice location
30544 Highway 200 Ste 102
Ponderay, ID 83852
Mailing address
30544 Highway 200 Ste 102
Ponderay, ID 838525005
Additional practice locations
1 secondary location on file with NPPES.
Location 2
714 W Pine St Bldg C
Newport, WA 991569046
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including...
-
Orthopaedic SurgeryAn orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 8502734 | |
| 05 (ID) | 807920700 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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