DR. JOHN C HICKEY (NPI# 1194222901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194222901 |
| Entity Type | Individual |
| Full Name | DR. JOHN C HICKEY |
| Credential | DC |
| Practice Address |
376 S Latah St Boise ID 83705 |
| Mailing Address |
376 S Latah St Boise ID 83705-1539 |
| Practice Telephone | 2083389111 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA-1836 | ID | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730308578 | John Hickey | Clinic/Center | 323 Dorchester Ave, South Boston, MA 02127-2408 | 2007-04-24 |
| 1043376189 | John James Hickey | Podiatrist | 2870 Hempstead Tpke Ste 103, Levittown, NY 11756-1341 | 2006-12-30 |
| 1528155009 | John K Hickey | Physician Assistant | 20 York St - Cb2041, Mill Hill Medical Conslutants, Inc, New Haven, CT 06504 | 2006-10-06 |
| 1902837701 | John C Hickey | Pediatrics | 181 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-07-06 |
| 1811433006 | John Hickey | Physical Therapist | 4220 W 95th St, Suite 100, Oak Lawn, IL 60453-2793 | 2017-01-11 |
| 1245425016 | John Scott Hickey | Psychologist | 3418 Mercer St, Suite 100, Houston, TX 77027-6527 | 2007-09-13 |
| 1033133129 | John Hickey | Pediatrics | 2006 Salem Rd, Burlington, NJ 08016 | 2006-07-26 |
| 1497782205 | John E. Hickey | Family Medicine | 675 N 5th St, Lebanon, OR 97355-2875 | 2006-06-27 |
| 1649217423 | John Paul Hickey | Internal Medicine | 55 Pittsfield Rd, Lenox, MA 01240 | 2006-06-01 |
| 1053317974 | John Langdon Hickey | Podiatrist | 345 F St, Ste 100, Chula Vista, CA 91910-2632 | 2005-06-24 |
| Street Address |
376 S LATAH ST |
| City | BOISE |
| State | ID |
| Zip Code | 83705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881773992 | Thomas Dennis Hickey | Chiropractor | 376 S Latah St, Boise, ID 83705-1539 | 2006-11-02 |
| 1114536794 | John Hickey PC | Chiropractor | 376 S Latah St, Boise, ID 83705-1539 | 2020-07-29 |
| 1376776773 | Kory Landon Kreusel | Chiropractor | 376 S Latah St, Boise, ID 83705-1539 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638143 | Madison J Wills | Chiropractor | 9196 W Emerald St Ste 120, Boise, ID 83704-8003 | 2020-08-04 |
| 1962027433 | Convergence Chiropractic Company | Chiropractor | 404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 | 2020-06-10 |
| 1356992788 | John Robert Bynum | Chiropractor | 6013 W Overland Rd Ste 101, Boise, ID 83709-3078 | 2019-09-26 |
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1780150292 | Nicolas Asla | Chiropractor | 403 S 11th St Ste 110, Boise, ID 83702-6968 | 2018-10-23 |
| 1386110385 | Chase Dudley | Chiropractor | 503 N 27th St, Boise, ID 83702-4704 | 2018-10-17 |
| 1730663634 | Ty Rodriguez | Chiropractor | 9328 W Overland Rd, Boise, ID 83709-2505 | 2018-09-18 |
| 1083128151 | Rebecca L Jergenson | Chiropractor | 2300 S Orchard St Ste A, Boise, ID 83705-6723 | 2017-11-27 |
| 1558809558 | Dixon Mooseau | Chiropractor | 1390 S Maple Grove Rd Ste 200, Boise, ID 83709-1610 | 2017-02-09 |
| 1790237956 | Oscar Terrazas Jr. | Chiropractor | 5244 W Overland Rd, Boise, ID 83705-2636 | 2016-11-03 |
| Find all providers in BOISE | ||||
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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.