RUSSELL RAYMOND JAICKS (M.D.) – Surgery Physician, NPI 1184727414

RUSSELL RAYMOND JAICKS (M.D.) is a healthcare provider. based in Kissimmee, Florida. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. ME113621 (FL). The NPI Number for RUSSELL RAYMOND JAICKS (M.D.) is 1184727414

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL RAYMOND JAICKS (M.D.)
NPI
1184727414
Phone
(407) 846-3166
Address
720 W OAK ST
Enumeration Date
5 September 2006
Last Update Date
18 April 2013

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
9419179000
Graduation Year
1989 (37 years ago)
PAC ID
0547251597
Group Practice PAC ID
1456663517
Professional Enrollment ID
I20120828000246
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RUSSELL RAYMOND JAICKS (M.D.)

  • 720, Oak Street, Kissimmee, Osceola County, Florida, 34741, United States

    STE 101

    KISSIMMEE, FL 347414989

    Phone: (407) 846-3166

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34741)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456663517View full group profile
NameSpecialtyState
ALAN CLAYTON BROCKHURST (MD)
-FL
DR. BRIAN KIMBRELL (MD)
-FL

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Frequently asked questions

What is the registry number for RUSSELL RAYMOND JAICKS (M.D.)?
The registry entry for RUSSELL RAYMOND JAICKS (M.D.) shows NPI 1184727414.
Quick check: is RUSSELL RAYMOND JAICKS (M.D.) active?
Public NPPES data shows RUSSELL RAYMOND JAICKS (M.D.) with an active NPI status right now.
Which specialty label fits RUSSELL RAYMOND JAICKS (M.D.)?
NPPES ties RUSSELL RAYMOND JAICKS (M.D.) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RUSSELL RAYMOND JAICKS (M.D.)?
RUSSELL RAYMOND JAICKS (M.D.) is associated with Kissimmee, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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