MR. MICHAEL ALLEN HICKS (NPI# 1225262108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225262108 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ALLEN HICKS |
| Credential | ARNP-C |
| Practice Address |
205 Zeagler Dr Palatka FL 32177-3888 |
| Practice Telephone | 3863286746 |
| Practice Fax Number | 3863287554 |
| Mailing Telephone | 3863286746 |
| Mailing Fax Number | 3863287554 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1652122 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232198 | Michael J Hicks | Emergency Medicine | 4000 Route 130 Bldg C, Delran, NJ 08075-2414 | 2005-08-11 |
| 1124686746 | Michael Patrick Hicks | Pharmacist | 1944 Illinois St, Sidney, NE 69162-1427 | 2019-05-29 |
| 1407347107 | Michael Joel Hicks | Dentist | 7901 Mall Rd, Florence, KY 41042-1496 | 2018-05-29 |
| 1982125704 | Michael Hicks | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2017-07-01 |
| 1316385115 | Michael David Hicks | Anesthesiology | 1900 Electric Rd, Salem, VA 24153 | 2013-06-13 |
| 1174860514 | Michael J Hicks | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2013-01-04 |
| 1447558465 | Michael Alan Hicks | Case Manager/Care Coordinator | 100 S 1000 W, Tooele, UT 84074-4010 | 2011-03-01 |
| 1073779260 | Michael Suttles Hicks | Pharmacist | 212 Northside Dr, Valdosta, GA 31602-1858 | 2008-08-06 |
| 1417142449 | Michael Joe Hicks | Audiologist | 28 Chick St, Metropolis, IL 62960-2467 | 2007-09-12 |
| 1447373824 | Michael Damont Hicks | Counselor | 5445 Laurel Hills Dr, Sacramento, CA 95841-3105 | 2007-04-09 |
| Street Address |
205 ZEAGLER DR |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184671844 | Jack M. Matheny II, M.d. | Internal Medicine | 205 Zeagler Dr, Ste 101, Palatka, FL 32177-3888 | 2006-05-28 |
| 1265973911 | First Coast Cardiovascular | Internal Medicine | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2017-03-14 |
| 1427301670 | Physicians Group Services Pa | Surgery | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2012-10-24 |
| 1740490945 | Jeffrey Reid Slotten | Dentist | 205 Zeagler Dr, Suite 502, Palatka, FL 32177-3888 | 2007-05-23 |
| 1457561672 | Jeffrey R. Slotten | Clinic/Center | 205 Zeagler Dr, Suite 502, Palatka, FL 32177-3888 | 2007-05-23 |
| 1407066582 | Richard A. Perallon | Dentist | 205 Zeagler Dr, Suite 301, Palatka, FL 32177-3888 | 2007-05-23 |
| 1154459832 | Julie Catherine Grout | Physical Therapist | 205 Zeagler Dr, Suite 401, Palatka, FL 32177-3888 | 2007-03-02 |
| 1598810343 | Anthony J Pacitti | Surgery | 205 Zeagler Dr, Suite 203, Palatka, FL 32177-3888 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562851 | Taylor Bray Delarm | Nurse Practitioner | 119 Pine Oak Dr, Palatka, FL 32177-7905 | 2020-09-12 |
| 1609408160 | Molly Joan Hernandez | Nurse Practitioner | 301 Viking St, Palatka, FL 32177-3846 | 2020-02-12 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1538692736 | Andrea Leary | Nurse Practitioner | 205 Zeagler Dr Ste 101, Palatka, FL 32177-3860 | 2017-04-05 |
| 1144732504 | Thomas Llewellyn Christopher | Nurse Practitioner | 6500 Crill Ave, Palatka, FL 32177-9230 | 2017-10-25 |
| 1003352782 | Lindsey Fletcher | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-18 |
| 1437694056 | Brandi Rae Curtis | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-05 |
| 1710331665 | Tamara Baxter | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-04-18 |
| 1881002863 | Laurie Hamilton | Nurse Practitioner | 330 Kay Larkin Dr, Palatka, FL 32177-2307 | 2014-07-23 |
| 1861817413 | Jessica Dare Evans | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2014-02-19 |
| Find all providers in PALATKA | ||||
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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.