CLINE GUY HICKOK (NPI# 1356301006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356301006 |
| Entity Type | Individual |
| Full Name | CLINE GUY HICKOK |
| Credential | MD |
| Practice Address |
134 Southview St Owatonna MN 55060-3241 |
| Practice Telephone | 5074511120 |
| Practice Fax Number | 5074446287 |
| Mailing Telephone | 5074511120 |
| Mailing Fax Number | 5074446287 |
| Enumeration Date | 2006-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 38619 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
134 SOUTHVIEW ST |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851377162 | George Marcus | Radiology | 134 Southview St, Owatonna, MN 55060-3241 | 2005-12-19 |
| 1285160259 | Sara Halla | Counselor | 134 Southview St, Owatonna, MN 55060-3241 | 2017-05-11 |
| 1770750523 | Urology Associates, Ltd. | Urology | 134 Southview St, Owatonna, MN 55060-3241 | 2008-05-12 |
| 1699796052 | Connie Marie Grandia | Physician Assistant | 134 Southview St, Owatonna, MN 55060-3241 | 2006-07-21 |
| 1003855651 | Eleanor O Vita | Family Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-06-06 |
| 1780646778 | Tony F Chou | Emergency Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-04-05 |
| 1548221757 | Diane E Wallner | Family Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1427019637 | Gregory Carl Jones | Otolaryngology | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1942261151 | Joan M Queen | Nurse Practitioner | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1205897428 | Kim Willis Baker | Emergency Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750644589 | Jeffrey Donald Kendall | Obstetrics & Gynecology | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2012-06-18 |
| 1457647612 | Ashley Ellen Thorson | Obstetrics & Gynecology | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2011-06-24 |
| 1932183050 | Glenn Alan Gaunt | Obstetrics & Gynecology | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581218 | Catherine Pamela Edwards | Obstetrics & Gynecology | 7048 Highover Ct S, Chanhassen, MN 55317-7569 | 2019-11-04 |
| 1407329139 | Arthur Joseph Horowitz | Obstetrics & Gynecology | 830 Edgemoor Dr, Hopkins, MN 55305-4852 | 2019-01-04 |
| 1710437967 | David Olson | Obstetrics & Gynecology | 8201 Creekside Cir, Bloomington, MN 55437-3836 | 2016-10-12 |
| 1326492182 | Leah Christine Henke | Obstetrics & Gynecology | 688 Holly Ave Apt 5, Saint Paul, MN 55104-7557 | 2016-04-19 |
| 1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
| 1285052027 | Paige Persch | Obstetrics & Gynecology | 6565 France Ave S Ste 300, Edina, MN 55435-2154 | 2014-03-30 |
| 1386065100 | Jennifer Arnhold Md Plc | Obstetrics & Gynecology | 13359 Isle Dr. Suite 2, Baxter, MN 56425-2222 | 2013-12-20 |
| 1598008716 | Sarah Marie Krueger | Obstetrics & Gynecology | 606 24th Ave S Ste 700, Minneapolis, MN 55454-1462 | 2013-04-05 |
| 1922341791 | Matthew Thomas Bigos | Obstetrics & Gynecology | 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 | 2013-03-31 |
| 1205191335 | William F Dickes | Obstetrics & Gynecology | 14708 57th St S, Afton, MN 55001-9686 | 2012-07-04 |
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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.