BENJAMIN HICKS (NPI# 1114315140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114315140 |
| Entity Type | Individual |
| Full Name | BENJAMIN HICKS |
| Credential | MS, ATC |
| Practice Address |
633 Emerson Rd Suite 20 Creve Coeur MO 63141-6739 |
| Practice Telephone | 3143253068 |
| Practice Fax Number | 3143253069 |
| Mailing Telephone | 3143253068 |
| Mailing Fax Number | 3143253069 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2016-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2014028850 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396971727 | Benjamin Ferrill Hicks Jr. | Family Medicine | 1330 Crest Road, Del Mar, CA 92014-2529 | 2009-05-29 |
| 1891988481 | Benjamin Hicks | Internal Medicine | 4502 East 41st St, Tulsa, OK 74125-2512 | 2007-08-27 |
| 1740899335 | Benjamin David Hicks | Dentist | 6000 Us-98, Pensacola, FL 32512-0001 | 2020-07-29 |
| 1982149845 | Benjamin T Hicks | Physician Assistant | 715 N Weber St, Colorado Springs, CO 80903-1091 | 2017-01-03 |
| 1184961963 | Benjamin L Hicks | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-01-14 |
| 1124353099 | Benjamin J Hicks | Family Medicine | 827 S Jackson St, Osceola, IA 50213-1666 | 2009-10-12 |
| 1780687707 | Benjamin Matthew Hicks | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-05-23 |
| Street Address |
633 EMERSON RD SUITE 20 |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912995317 | Harry C Eggleston | Ophthalmology | 633 Emerson Rd, Creve Coeur, MO 63141-6739 | 2005-10-10 |
| 1871032680 | Olive Ambulatory Surgery Center, LLC | Clinic/Center | 633 Emerson Rd, Suite #120, Creve Coeur, MO 63141-6739 | 2017-02-14 |
| 1497293435 | Daniel Herrin | Specialist/Technologist | 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 | 2017-02-10 |
| 1144768912 | Joint Health LLC | Orthopaedic Surgery | 633 Emerson Rd, Suite 10, Creve Coeur, MO 63141-6739 | 2017-02-01 |
| 1073997144 | North Campus Surgery Center LLC | Clinic/Center | 633 Emerson Rd, #120, Creve Coeur, MO 63141-6739 | 2015-07-17 |
| 1235571134 | Joint Health LLC | Orthopaedic Surgery | 633 Emerson Rd, Suite 100, Creve Coeur, MO 63141-6739 | 2013-07-22 |
| 1972845923 | Emerson Surgery Center, LLC | Clinic/Center | 633 Emerson Rd, Suite 140, Creve Coeur, MO 63141-6739 | 2013-03-17 |
| 1760756126 | Nathaniel Larue Burney | Specialist/Technologist | 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 | 2012-03-02 |
| 1861764771 | St. Louis Spine Surgery Center, LLC | Clinic/Center | 633 Emerson Rd, Suite 160, Creve Coeur, MO 63141-6739 | 2012-02-08 |
| 1437488400 | Nancy Ketring Kennedy | Optometrist | 633 Emerson Rd, Creve Coeur, MO 63141-6739 | 2009-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| 1285089607 | Joseph Paulson Demosthene | Specialist/Technologist | 655 Craig Rd Ste 160, Creve Coeur, MO 63141-7173 | 2016-05-04 |
| 1205870433 | John Jerome Barrett | Specialist/Technologist | 633 Emerson Rd Ste 20, Creve Coeur, MO 63141-6739 | 2006-06-16 |
| 1043744188 | Sarah Haenchen | Specialist/Technologist | 633 Emerson Rd Ste 20, Creve Coeur, MO 63141 | 2017-04-15 |
| 1558895086 | Daniel Richard Smith | Specialist/Technologist | 633 Emerson Rd Ste 20, Creve Coeur, MO 63141-6739 | 2017-04-11 |
| 1497293435 | Daniel Herrin | Specialist/Technologist | 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 | 2017-02-10 |
| 1124418603 | Lindsey Sumner Knapp | Specialist/Technologist | 633 Emerson Rd Ste 20, Creve Coeur, MO 63141-6739 | 2015-02-04 |
| 1760756126 | Nathaniel Larue Burney | Specialist/Technologist | 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 | 2012-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
| 1306464011 | Dustin Flynn | Specialist/Technologist | 541 Huntley Heights Dr, Ballwin, MO 63021-5884 | 2020-07-09 |
| 1851916878 | Olivia Marie Bogolin | Specialist/Technologist | 111 Timber Trace Xing, Wentzville, MO 63385-2124 | 2020-06-15 |
| 1417571464 | Jessica Burgason | Specialist/Technologist | 24173 State Highway F, Kirksville, MO 63501-8009 | 2020-06-05 |
| 1225651664 | Ashley Marie Garlock | Specialist/Technologist | 1308 S Halliburton St, Kirksville, MO 63501-4456 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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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.