WILLIAM LESLIE HICKERSON


Address: 890 Madison Ave, Suite Tg032, Memphis, TN 38103-3409
Phone: 9014482579

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TN 3001590 05
MO 1033209606 05
MS 00154377 05
AR 111048001 05
GA 003179306A 05
AL 177555 05

Other Providers WILLIAM HICKERSON

NPI Name Taxonomy Address Enumeration
1346606217 William Hickerson Counselor 368 Fell St, San Francisco, CA 94102-5144 2016-01-07

Office Location

Street Address 890 MADISON AVE
SUITE TG032
City MEMPHIS
State TN
Zip Code 38103-3409

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MEMPHIS
Zip Code 38103

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Dataset Information

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.

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