MARTHA A HICKMANN (NPI# 1437147030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437147030 |
| Entity Type | Individual |
| Full Name | MARTHA A HICKMANN |
| Credential | MD |
| Practice Address |
3025 Governors Place Blvd Dayton OH 45409 |
| Practice Telephone | 9372935567 |
| Practice Fax Number | 9372935568 |
| Mailing Telephone | 9372935567 |
| Mailing Fax Number | 9372935568 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2011-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
35-06-0161 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2088646 | 05 |
| Street Address |
3025 GOVERNORS PLACE BLVD |
| City | DAYTON |
| State | OH |
| Zip Code | 45409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265895932 | David Surprenant | Dermatology | 3025 Governors Place Blvd, Dayton, OH 45409-1330 | 2016-03-31 |
| 1073828315 | Governor's Place Ambulatory Surgery Center LLC | Clinic/Center | 3025 Governors Place Blvd, Dayton, OH 45409-1330 | 2010-08-11 |
| 1659569382 | Gwyn Elann King | Dermatology | 3025 Governors Place Blvd, Dayton, OH 45409-1330 | 2007-10-09 |
| 1861449274 | Heidi B Donnelly | Dermatology | 3025 Governors Place Blvd, Dayton, OH 45409-1330 | 2006-05-30 |
| 1710932454 | Dayton Skin Surgery Center Inc | Dermatology | 3025 Governors Place Blvd, Dayton, OH 45409-1330 | 2006-05-23 |
| 1972594893 | Lydia Carpenter | Dermatology | 3025 Governors Place Blvd, Dayton, OH 45409-1330 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871018325 | Beautifully Scarred,llc | Dermatology | 6924 Spring Valley Dr Ste 160, Holland, OH 43528-9482 | 2017-08-06 |
| 1992228183 | Qiana Depp | Dermatology | 6924 Spring Valley Dr # 160, Holland, OH 43528-9482 | 2017-07-20 |
| 1578682373 | Dermatology Laser Surgery Center Inc. | Dermatology | 5 Wenger Road, Englewood, OH 45322 | 2007-03-29 |
| 1619059516 | Thomas P Blodgett | Dermatology | 39 Hidden Valley Dr, Bidwell, OH 45614-9591 | 2006-10-19 |
| 1336170851 | Doreen Dupont | Dermatology | 545 Metro Place South, Suite 100, Dublin, OH 43017 | 2006-07-05 |
| 1457343527 | Dwight A Scarborough | Dermatology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-08-16 |
| 1114928041 | Kirsten Trotter Lynch | Dermatology | 3737 Park East Dr, Suite 109, Beachwood, OH 44122-4347 | 2005-08-02 |
| 1750852620 | Alexandra Rae Buehrle | Dermatology | 9485 Mentor Ave Ste 210, Mentor, OH 44060-8723 | 2018-12-17 |
| 1669859047 | Forefront Dermatology, S.c. | Dermatology | 1830 Bethel Rd, Suite C, Columbus, OH 43220 | 2015-05-05 |
| 1891183059 | Forefront Dermatology, S.c. | Dermatology | 400 N Main St, Suite D, Centerville, OH 45459 | 2014-12-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARTHA A HICKMANN.
| 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.