WILLIAM LESLIE HICKERSON (NPI# 1033209606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033209606 |
Entity Type | Individual |
Full Name | WILLIAM LESLIE HICKERSON |
Credential | MD |
Practice Address |
890 Madison Ave Suite Tg032 Memphis TN 38103-3409 |
Practice Telephone | 9014482579 |
Practice Fax Number | 9014482602 |
Mailing Telephone | 9014482579 |
Mailing Fax Number | 9014482602 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2018-10-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
E-4374 | AR | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
12709 | TN | Allopathic & Osteopathic Physicians |
N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
E-4374 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3001590 | 05 | |
MO | 1033209606 | 05 | |
MS | 00154377 | 05 | |
AR | 111048001 | 05 | |
GA | 003179306A | 05 | |
AL | 177555 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346606217 | William Hickerson | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2016-01-07 |
Street Address |
890 MADISON AVE SUITE TG032 |
City | MEMPHIS |
State | TN |
Zip Code | 38103-3409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508974700 | Mary E Bruce | Physician Assistant | 890 Madison Ave, Memphis, TN 38103-3409 | 2006-08-28 |
1164989448 | Phylicia Harris | Nurse Practitioner | 890 Madison Ave, Memphis, TN 38103-3409 | 2019-02-22 |
1346713948 | Abdul-karim Sesay | Nurse Practitioner | 890 Madison Ave, Memphis, TN 38103-3409 | 2019-01-07 |
1790197945 | Regional Med Extended Care Hospital, LLC | Long Term Care Hospital | 890 Madison Ave, 4th Floor, Memphis, TN 38103-3409 | 2014-05-22 |
1114356110 | Jose A Aguirre Md PC Tn | Internal Medicine | 890 Madison Ave, Floor 4, Memphis, TN 38103-3409 | 2013-11-11 |
1134552219 | Regional Med Extended Care Hospital, LLC | General Acute Care Hospital | 890 Madison Ave, 4th Floor, Memphis, TN 38103-3409 | 2013-08-13 |
1235234808 | Ibrahim A Sultan-ali | Internal Medicine | 890 Madison Ave, Memphis, TN 38103-3409 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
Find all providers in zip 38103 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851657597 | Jordi Puente Espel | Surgery | 6215 Humphreys Blvd Ste 103, Memphis, TN 38120-2382 | 2012-04-06 |
1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
1023075637 | Robert D Wallace | Surgery | 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 | 2006-04-27 |
1699753954 | Clinic of Plastic and Reconstructive Surgery, P.a. | Surgery | 1000 Brookfield Rd, Suite 100, Memphis, TN 38119-0853 | 2006-01-06 |
1972166429 | Ammar Obaid Mahmood | Surgery | 910 Madison Ave Ste 447, Memphis, TN 38103-3403 | 2019-04-19 |
1316380694 | Meredith Wall Wagner | Surgery | 6254 Poplar Ave, Memphis, TN 38119 | 2013-04-16 |
1962631341 | Sai Ramakrishna Velamuri Venkata | Surgery | 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 | 2009-07-07 |
1255366621 | Sherrill Bryce Stewart | Surgery | 6025 Walnut Grove Rd, Suite 612, Memphis, TN 38120-2131 | 2006-07-12 |
1487611000 | Edward A Luce | Surgery | 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 | 2006-04-27 |
1366409104 | Roberto D Lachica | Surgery | 6029 Walnut Grove Rd Ste 210, Memphis, TN 38120-2112 | 2006-04-26 |
Find all providers in MEMPHIS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.