JEFFERSON LEWIS HICKS (NPI# 1083013064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083013064 |
| Entity Type | Individual |
| Full Name | JEFFERSON LEWIS HICKS |
| Credential | PA |
| Practice Address |
10103 Ridgegate Pkwy Ste 306 Lone Tree CO 80124-5525 |
| Mailing Address |
10103 Ridgegate Pkwy Ste 306 Lone Tree CO 80124-5525 |
| Practice Telephone | 3032258120 |
| Practice Fax Number | 3032258130 |
| Mailing Telephone | (303) 225-8120 |
| Mailing Fax Number | 3032258130 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2017-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0004557 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10103 RIDGEGATE PKWY STE 306 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508807041 | Jonathan Hugh Churchill | Physician Assistant | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2006-06-08 |
| 1417313099 | Samuel Roll | Technician, Other | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2016-01-12 |
| 1184013336 | Niel Hartwell | Clinical Nurse Specialist | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2015-01-12 |
| 1194153155 | Michael Richards | Specialist | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2013-10-29 |
| 1811333073 | Professional Oversight Consultants | Specialist | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2013-05-15 |
| 1316382666 | Heather Huber | Specialist/Technologist, Other | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2013-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
| 1053710574 | Sarah Michelle Palmer | Physician Assistant | 9695 S Yosemite St Ste 282, Lone Tree, CO 80124-2890 | 2014-08-20 |
| 1013194380 | Lillywyte LLC | Physician Assistant | 8418 Colonial Dr, Lone Tree, CO 80124-9738 | 2008-01-29 |
| 1538622246 | Surgical Prospects, P.C. | Physician Assistant | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2019-04-09 |
| 1659801454 | Jordyn Alexa Roddy | Physician Assistant | 10103 Ridgegate Parkway, Aspen Building, Suite 112, Lone Tree, CO 80124 | 2017-06-14 |
| 1407208895 | Norse Medica | Physician Assistant | 10099 Ridgegate Pkwy, Suite 310, Lone Tree, CO 80124-5531 | 2016-07-08 |
| 1275928236 | Braegen Enterprises | Physician Assistant | 9451 E Winding Hill Ave, Lone Tree, CO 80124 | 2015-04-06 |
| 1285076661 | Derrick John Winckler | Physician Assistant | 10099 Ridgegate Pkwy, Suite 310, Lone Tree, CO 80124-5531 | 2013-07-25 |
| 1578693339 | Amy C Chandler | Physician Assistant | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2007-03-07 |
| 1457418923 | Michael J Schweid | Physician Assistant | 10103 Ridgegate Pkwy, Suite 306, Lone Tree, CO 80124-5520 | 2007-01-03 |
| Find all providers in LONE TREE | ||||
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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.