DR. CHRISTOPHER MAHOOD HICKS (NPI# 1598736142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598736142 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER MAHOOD HICKS |
| Credential | MD |
| Practice Address |
1802 Braeburn Dr Suite 2130 Salem VA 24153-7357 |
| Mailing Address |
Po Box 21672 Roanoke VA 24018-0169 |
| Practice Telephone | 5404444670 |
| Practice Fax Number | 5404444671 |
| Mailing Telephone | 5409047534 |
| Mailing Fax Number | 5409047545 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2014-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0101036424 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003301268 | Christopher Hicks | Case Manager/Care Coordinator | 3515 Senator Ct, Columbus, OH 43204-5202 | 2018-06-28 |
| 1124153010 | Christopher Aaron Hicks | Physical Therapist | 707 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 | 2007-02-22 |
| 1477661635 | Christopher Joe Hicks | Nurse Anesthetist, Certified Registered | 993-d Johnson Ferry Rd., Suite 300, Atlanta, GA 30342 | 2006-08-28 |
| 1548226376 | Christopher L Hicks | Nurse Practitioner | 203 N Cedar Ave, Cookeville, TN 38501 | 2006-04-21 |
| 1114925328 | Christopher Kip Hicks | Specialist | 813a Franklin St Se, Huntsville, AL 35801-4311 | 2005-07-12 |
| 1316438856 | Christopher Michael Hicks | Speech-Language Pathologist | 502 E General Stewart Way Ste C, Hinesville, GA 31313-2643 | 2018-05-21 |
| 1154718633 | Christopher Hicks | Counselor | 55 W 125th St, New York, NY 10027-4516 | 2015-04-22 |
| 1710394994 | Christopher Hicks | Registered Nurse | 115 Mill St, Belmont, MA 02478-1064 | 2014-07-19 |
| 1093120545 | Christopher Hicks | Physical Medicine & Rehabilitation | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2014-06-24 |
| 1427478510 | Christopher Raymond Hicks | Obstetrics & Gynecology | 2439 Bee Ridge Rd, Sarasota, FL 34239-6304 | 2014-04-16 |
| Street Address |
1802 BRAEBURN DR SUITE 2130 |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121338 | Mark R Hanabury Jr. | Specialist | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2005-06-01 |
| 1841851433 | Grace Julia Valiulis | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2019-06-24 |
| 1083279376 | Olivia Jayne Darwin | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2019-05-02 |
| 1487166088 | Christopher Cutchin Coulter | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-11-04 |
| 1063946358 | Kimberly Charise Martin | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-04-13 |
| 1699215434 | Shannon Michelle Snyder | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-02-27 |
| 1255875589 | Sarah Markwood | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-12-06 |
| 1437506789 | Nicole Crowder | Registered Nurse | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-05-17 |
| 1508228669 | Mohammed Abdul Khadar Siddiqui | Pediatrics | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-03-28 |
| 1851757629 | Alisha O Lipes | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
| 1801820139 | Jaffer H Bashey | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2006-07-11 |
| 1174589709 | Stuart Maru Diamond | Urology | 4 Bypass Rd, Suite 103, Salem, NJ 08079 | 2006-04-22 |
| 1750807640 | Comprehensive Urology Institute Inc. | Urology | 2364 Southeast Blvd, Salem, OH 44460-3418 | 2017-08-22 |
| 1306291802 | Christopher M Woods | Urology | 2973 12th Street Se, Salem, OR 97302-3162 | 2016-05-03 |
| 1194082370 | First Urology, Psc | Urology | 911 N Shelby St, Salem, IN 47167-2304 | 2012-04-12 |
| 1417100405 | Bradley W Warner | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2008-11-04 |
| 1114181054 | Mark Laspina | Urology | 400 Highland Ave, Suite 6, Salem, MA 01970-7003 | 2008-07-10 |
| 1578725438 | Zoubir Akrout Md | Urology | 4 Bypass Road, Suite 204, Salem, NJ 08079 | 2008-07-01 |
| 1194986026 | Philip A. Rosen | Urology | 2973 12th Street Se, Salem, OR 97302-3162 | 2008-06-23 |
| Find all providers in SALEM | ||||
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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.