LYNN L HICKEY (NPI# 1265579197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265579197 |
| Entity Type | Individual |
| Full Name | LYNN L HICKEY |
| Credential | MD |
| Practice Address |
1184 State Rt 50 Ballston Lake NY 12018 |
| Mailing Address |
711 Troy Schenectady Rd Suite 201 Latham NY 12110-2442 |
| Practice Telephone | 5183841281 |
| Practice Fax Number | 5183840321 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 229140 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 229140 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02644113 | 05 |
| Street Address |
1184 STATE RT 50 |
| City | BALLSTON LAKE |
| State | NY |
| Zip Code | 12018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576337 | Dragonfly & Owl, LLC | Occupational Therapy Assistant | 1653 Ny-43, Averill Park, NY 12018 | 2020-10-23 |
| 1821625518 | Katelee Juliano | Registered Nurse | 333 Ny-351, Averill Park, NY 12018 | 2020-03-24 |
| 1114455821 | Elizabeth Aldeane Barnes | Counselor | 16 Mohawk Drive, Averill Park, NY 12018 | 2017-05-24 |
| 1346671872 | Thomas Degenero I | Dentist | 4482 Ny Route 150, West Sand Lake, NY 12018 | 2013-12-10 |
| 1871855767 | Daniel Kevin Rounds | Specialist | 3054 Ny Route 43, Averill Park, NY 12018 | 2012-06-15 |
| 1427328616 | Rebecca La Dine Everett | Registered Nurse | 146 Gettle Road, St. 1, Averill Park, NY 12018 | 2012-01-05 |
| 1124398474 | Johanna M. Flanigan | Registered Nurse | 146 Gettle Road, Averill Park, NY 12018 | 2012-01-04 |
| 1689943573 | Averill Park School District | Case Management | 333 Ny 351, Averill Park, NY 12018 | 2011-12-21 |
| 1477631828 | Geoffrey Raymond Gamache | Dentist | 1 East View Road, Averill Park, NY 12018 | 2006-11-02 |
| 1891873246 | Rosanne Sundstrom | Dentist | One East View Road, Averill Park, NY 12018 | 2006-11-02 |
| Find all providers in zip 12018 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134403561 | Community Care Physicians, PC | Internal Medicine | 1184 State Route 50, Ballston Lake, NY 12019-1923 | 2011-10-04 |
| 1831273762 | James Gaylord | Internal Medicine | 1184 State Route 50, Ballston Lake, NY 12019-1923 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1811598055 | Hudson Valley Clinica Medica | Internal Medicine | 110 Stage Rd, Monroe, NY 10950-3513 | 2020-11-04 |
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1295341535 | Reside Health Medical Group, Pllc | Internal Medicine | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 |
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1578177929 | Ar Personal Medical Care P.C. | Internal Medicine | 4102 75th Street, Elmhurst, NY 11373-3745 | 2020-09-03 |
| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | BALLSTON LAKE |
| Zip Code | 12018 |
Please comment or provide details below to improve the information on LYNN L HICKEY.
| 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.