CORY T HAMMOND (NPI# 1376845370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376845370 |
| Entity Type | Individual |
| Full Name | CORY T HAMMOND |
| Credential | PA |
| Practice Address |
208 Columbus St Hicksville OH 43526 |
| Mailing Address |
208 Columbus St Hicksville OH 43526-1250 |
| Practice Telephone | 4195426692 |
| Practice Fax Number | 4195425667 |
| Mailing Telephone | 4195426692 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2018-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10001240A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.004015RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000690186 | 01 | |
| OH | 0203880 | 05 | |
| IN | OPR | 05 | |
| IN | ANTHEM | 000000690186 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699019547 | Cory Hammond | Behavioral Analyst | 2137 Rejoice Dr, N Las Vegas, NV 89032-4845 | 2012-11-15 |
| Street Address |
208 COLUMBUS ST |
| City | HICKSVILLE |
| State | OH |
| Zip Code | 43526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477549962 | Laverne L Miller | Family Medicine | 208 Columbus St, Hicksville, OH 43526-1250 | 2005-09-21 |
| 1104455344 | Elizabeth Heitmeyer | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2020-04-08 |
| 1255990180 | Samantha Jo Kimpel | Massage Therapist | 208 Columbus St, Hicksville, OH 43526-1250 | 2019-06-13 |
| 1275090094 | Conner Yoder | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2019-02-28 |
| 1912480039 | Crystal M. Trabel | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1299 | 2018-09-14 |
| 1164915021 | Community Memorial Hospital | Clinic/Center | 208 Columbus St, Hicksville, OH 43526-1250 | 2018-06-14 |
| 1033623962 | Julanne Marie Luderman | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2017-11-30 |
| 1891206272 | Angela Marie Newman | Social Worker | 208 Columbus St, Hicksville, OH 43526-1250 | 2017-10-12 |
| 1952783821 | Natallia Lamantia | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2015-06-26 |
| 1598165888 | Tara Garza | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534177 | Desare R Wilhelm | Massage Therapist | 104 E. High St., Hicksville, OH 43526 | 2011-09-29 |
| 1326133380 | Michael Stewart Boggs | Dentist | 106 North Bryan Street, Hicksville, OH 43526 | 2006-10-04 |
| 1831201417 | Julie K Barth | Audiologist | 119 N. Main St, Hicksville, OH 43526 | 2006-08-31 |
| 1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
| 1356580294 | Vasavi K Reddy | Family Medicine | 208 Columbus Street, Hicksville, OH 43526 | 2009-02-17 |
| 1326685728 | Chelsea Kelly Dds LLC | Dentist | 106 N Bryan St, Hicksville, OH 43526-1004 | 2019-12-04 |
| 1003431073 | Macy Marie Bradbury | Physician Assistant | 217 N Bryan St, Hicksville, OH 43526-1005 | 2020-06-15 |
| 1386650141 | Ryan David Bagley | Chiropractor | 102 Old Mill Rd, Hicksville, OH 43526-1083 | 2006-08-01 |
| 1114188679 | Bagley Family Chiropractic, LLC | Chiropractor | 501 W High St, Hicksville, OH 43526-1083 | 2008-06-18 |
| 1033316419 | Brent A Roth Dc Inc | Chiropractor | 501 W High St, Hicksville, OH 43526-1083 | 2007-06-29 |
| Find all providers in zip 43526 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431073 | Macy Marie Bradbury | Physician Assistant | 217 N Bryan St, Hicksville, OH 43526-1005 | 2020-06-15 |
| 1033758560 | Victoria Zhou | Physician Assistant | 2 Angle Ln, Hicksville, NY 11801-4410 | 2020-01-01 |
| 1225676398 | Kirupajini Gnanamurthy | Physician Assistant | 14 Cornwall Ln, Hicksville, NY 11801-3740 | 2019-12-19 |
| 1851938781 | Puneet K Gill | Physician Assistant | 51 Cedar St, Hicksville, NY 11801-3207 | 2019-12-10 |
| 1831730399 | Aney D Patel | Physician Assistant | 25 Woodcrest Rd, Hicksville, NY 11801-6027 | 2019-10-04 |
| 1841756863 | Lauren Drankwalter | Physician Assistant | 202 Dartmouth Dr, Hicksville, NY 11801-3423 | 2019-02-14 |
| 1568960078 | Nicholas Edward Broughton | Physician Assistant | 99 Woodbury Rd, Hicksville, NY 11801-3043 | 2018-01-30 |
| 1841656113 | Quratul Lodhi | Physician Assistant | 5 N Fordham Rd, Hicksville, NY 11801-6006 | 2016-01-02 |
| 1013385186 | Muhaimina Khalfan | Physician Assistant | 12 Loretta Ln, Hicksville, NY 11801-3716 | 2015-09-08 |
| 1821499468 | Cameron Suh | Physician Assistant | 20 Winter Ln, Hicksville, NY 11801-6220 | 2014-09-15 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 43526 |
Please comment or provide details below to improve the information on CORY T HAMMOND.
| 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.