MICHAEL J HICKS (NPI# 1245232198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245232198 |
| Entity Type | Individual |
| Full Name | MICHAEL J HICKS |
| Credential | MD |
| Practice Address |
4000 Route 130 Bldg C Delran NJ 08075-2414 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 8567050685 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD023250E | PA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 25MA09803100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0008913770010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1225262108 | Michael Allen Hicks | Nurse Practitioner | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2009-05-07 |
| 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 |
4000 ROUTE 130 BLDG C |
| City | DELRAN |
| State | NJ |
| Zip Code | 08075-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558579631 | Samuel L. Friedman | General Practice | 4000 Route 130 Bldg C, Delran, NJ 08075-2414 | 2007-05-20 |
| 1871609149 | Moishe Starkman | Legal Medicine | 4000 Route 130 Bldg C, Delran, NJ 08075-2414 | 2006-08-21 |
| 1245229913 | Annabelle Bello Dimapilis | Family Medicine | 4000 Route 130 Bldg C, Delran, NJ 08075-2414 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659894947 | Mackenzie June Peed | Specialist/Technologist | 7 Aster Ct, Delran, NJ 08075 | 2017-07-19 |
| 1912427824 | Megan Marie Staerk | Nurse Practitioner | 102 Wayside Court, Delran, NJ 08075 | 2017-06-21 |
| 1043746746 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Leon Ave, Delran, NJ 08075 | 2017-05-02 |
| 1407394489 | Rachel Petrin | Speech-Language Pathologist | 80 Stecher Ave, Delran, NJ 08075 | 2017-02-09 |
| 1902267495 | Elizabeth Merlino | Pharmacist | 4000 Rout 130, Unit 17, Delran, NJ 08075 | 2016-03-11 |
| 1659753234 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 801 Burlington Avennue, Unit B, Delanco, NJ 08075 | 2015-06-19 |
| 1326438060 | Kerry-anne Perkins | Obstetrics & Gynecology | 5045 Route 130 Ste I, Delran, NJ 08075 | 2015-02-03 |
| 1073758876 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7001 Route 130, Delran, NJ 08075 | 2008-12-08 |
| 1154458297 | Senior Care Centers of America, Inc. | Respite Care | 8008 Us Route 130 North, Bldg B, Suite 300, Delran, NJ 08075 | 2007-02-27 |
| 1528103256 | Jean Metz | Social Worker | 950 Chester Ave, Delran, NJ 08075 | 2007-02-20 |
| Find all providers in zip 08075 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134598709 | Patient First Maryland Physicians Group, P.C. | Family Medicine | 4000 Route 130 N., Building C, Delran, NJ 08075-2414 | 2015-09-24 |
| 1871504340 | Vernon Buckley | Family Medicine | 950a S Chester Ave Ste 10, Delran, NJ 08075-1234 | 2006-08-10 |
| 1154367225 | Evacueto P. Tangco | Family Medicine | 302 Clay St, Delran, NJ 08075-3209 | 2006-06-20 |
| 1245285196 | Delran Family Practice | Family Medicine | 8008 Route 130, Suite 120, Delran, NJ 08075-1869 | 2006-05-22 |
| 1134129125 | Stephen Evan Kabel | Family Medicine | 26 Haines Mill Rd, Delran, NJ 08075-1715 | 2005-07-30 |
| 1366874430 | Paul M Kosmorsky Do LLC | Family Medicine | 8008 Route 130, Delran, NJ 08075-1869 | 2013-07-31 |
| 1083943872 | South Jersey Family & Specialty Medicine LLC | Family Medicine | 2906 Route 130, Delran, NJ 08075-2521 | 2009-12-08 |
| 1821176249 | Teresa Smith Ball LLC | Family Medicine | 8008 Route 130 North, Suite 120, Delran, NJ 08075 | 2006-11-02 |
| 1154406932 | Maureen Keller | Family Medicine | 2906 Route 130 South, Suite 201, Delran, NJ 08075-0765 | 2006-10-27 |
| 1245229913 | Annabelle Bello Dimapilis | Family Medicine | 4000 Route 130 Bldg C, Delran, NJ 08075-2414 | 2005-10-17 |
| Find all providers in DELRAN | ||||
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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.