JESSIE D. HICKS, D.O.,P.A. (NPI# 1366608051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366608051 |
| Entity Type | Organization |
| Organization Name | JESSIE D. HICKS, D.O.,P.A. |
| Practice Address |
4301 College Dr Rm 800 Vernon TX 76384-3128 |
| Practice Telephone | 9405529323 |
| Practice Fax Number | 9405529328 |
| Mailing Telephone | 9405529323 |
| Mailing Fax Number | 9405529328 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | DR. JESSIE DENEICE HICKS (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 9405529323 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | K6864 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | 110243367 | 01 |
| TX | 030891801 | 05 | |
| TX | BLUE LINK | 0028DT | 01 |
| Street Address |
4301 COLLEGE DR RM 800 |
| City | VERNON |
| State | TX |
| Zip Code | 76384-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053841163 | Veronika Jo Harris | Nurse Practitioner | 4301 College Dr Rm 800, Vernon, TX 76384-3128 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097972 | Vera Marie Kemp | Registered Nurse | 2210 14th St, Vernon, TX 76384 | 2019-11-08 |
| 1477970598 | Vernon Smiles, PC | Dentist | 4409 Hillcrest Dr., Vernon, TX 76384 | 2014-03-26 |
| 1215138664 | Jc Parmer | Dentist | 220 Paradise St, Suite B, Vernon, TX 76384 | 2007-05-31 |
| 1013058486 | Northside Independent School District | Local Education Agency (LEA) | 18040 Hwy. 283, Vernon, TX 76384 | 2007-02-09 |
| 1316026602 | Babubhai M Patel | Internal Medicine | 4730 College St, Ntsh Vernon Campus, Vernon, TX 76384 | 2006-11-06 |
| 1992757579 | Vernon Care Center, L.p. | Durable Medical Equipment & Medical Supplies | 2301 Texas Street, Vernon, TX 76384 | 2006-05-16 |
| 1982655163 | City of Vernon | Ambulance | 4109 Wilbarger, Vernon, TX 76384 | 2006-05-13 |
| 1154395168 | Kimberly B. Horn | Occupational Therapist | 4301 College Drive, Suite 400, Vernon, TX 76384 | 2006-02-15 |
| 1316931835 | Wilbarger County Hospital District | Medicare Defined Swing Bed Unit | 920 Hillcrest Dr, Vernon, TX 76384 | 2005-09-12 |
| 1003388406 | Gustavo Alcantar Aleman Jr. | Nurse Practitioner | 4730 College Drive, Vernon, TX 76384 | 2018-12-23 |
| Find all providers in zip 76384 | ||||
| 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 |
|---|---|---|---|---|
| 1720611320 | Sherry Lynn C Wolf Md Pa | Internal Medicine | 4301 College Dr Ste 800a, Vernon, TX 76384-3128 | 2020-02-21 |
| 1619285426 | Sabitha Vignesh | Internal Medicine | 205 Vernon Ave, Unit-213, Vernon, CT 06066-4348 | 2010-09-15 |
| 1386707701 | Min Yen Han | Internal Medicine | 249 Rt 94, Suite 3, Vernon, NJ 07462 | 2006-12-18 |
| 1316026602 | Babubhai M Patel | Internal Medicine | 4730 College St, Ntsh Vernon Campus, Vernon, TX 76384 | 2006-11-06 |
| 1841389608 | Gary Irwin Bykoff | Internal Medicine | 281 Hartford Turnpike, Suite 303, Vernon, CT 06066 | 2006-10-12 |
| 1790893022 | Diana Wagner | Internal Medicine | 460 Hartford Tpke Ste A, Vernon, CT 06066-4847 | 2006-08-27 |
| 1538101282 | Amy Grace Geisen | Internal Medicine | 212 State Rt 94, Suite 1c, Vernon, NJ 07462-3328 | 2006-06-10 |
| 1083681555 | Maryann Igoe | Internal Medicine | 57 Hartford Tpke, Vernon, CT 06066-5258 | 2006-03-03 |
| 1427020742 | Pasquale J Yaccarino | Internal Medicine | 212 State Rt 94 Ste 1-c, Vernon, NJ 07462-3324 | 2006-02-02 |
| 1306823364 | Eric Samuel Hansen | Internal Medicine | 212 Route 94, Suite 1-d, Vernon, NJ 07462 | 2005-12-29 |
| Find all providers in VERNON | ||||
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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.