WILLIAM B HICKS (NPI# 1598756157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598756157 |
| Entity Type | Individual |
| Full Name | WILLIAM B HICKS |
| Credential | MD |
| Practice Address |
3100 Kennard St Maplewood MN 55109-5439 |
| Practice Telephone | 6513261044 |
| Practice Fax Number | 6513261089 |
| Mailing Telephone | 6513261044 |
| Mailing Fax Number | 6513261089 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
45733 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PREFERRED ONE | 1012141 | 01 | |
| ARAZ GROPU AMERICAS PPO | 1854601 | 01 | |
| MEDICA HEALTH PLANS | 1202579 | 01 | |
| BLUE CROSS BLUE SHIELD | 120L2HI | 01 | |
| FIRST HEALTH PLAN | 2114155 | 01 | |
| HEALTH PARTNERS | HP38893 | 01 | |
| MEDICAL ASSISTANCE | 784406900 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679727903 | William B Hicks | Counselor | 233 W Baseline Rd, La Verne, CA 91750-3383 | 2008-11-13 |
| 1912992546 | William M Hicks | Specialist | 2130 North Charles Seivers Blvd Ste 4, Clinton, TN 37716 | 2005-09-20 |
| 1558362681 | William Marlin Hicks | Optometrist | 183 Hospital Rd, Suite H, Winchester, TN 37398-2470 | 2005-08-10 |
| 1164422176 | William E. Hicks | Family Medicine | 101 Willmar Avenue Sw, Willmar, MN 56201-3591 | 2005-08-01 |
| 1639793573 | William Harrison Hicks | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-06-06 |
| 1437634722 | William Ray Hicks | Peer Specialist | 306 N 2nd St, Piedmont, MO 63957-1301 | 2018-10-02 |
| 1003154022 | William Craig Hicks | Nurse Anesthetist, Certified Registered | 1431 Sw 1st Ave, Ocala, FL 34471-6500 | 2013-01-25 |
| 1487903381 | William Leonard Hicks | Marriage & Family Therapist | 7671 Central Ave Ne, Suite 208, Fridley, MN 55432-3575 | 2012-09-06 |
| 1437467719 | William Charles Hicks | Counselor | 1724 Village Way, Suite A, Orange Park, FL 32073 | 2010-09-20 |
| 1225341613 | William Hicks | Pharmacist | 5968 W Parker Rd, Plano, TX 75093-6441 | 2010-07-14 |
| Street Address |
3100 KENNARD ST |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316495401 | Thomas Grove Wilson | Nurse Practitioner | 3100 Kennard St, Suite 100, Maplewood, MN 55109-5465 | 2016-09-16 |
| 1982842290 | Healtheast Care System | Non-Pharmacy Dispensing Site | 3100 Kennard St, 100, Maplewood, MN 55109-4569 | 2009-01-23 |
| 1003014911 | John Paul Berger | Internal Medicine | 3100 Kennard St, Suite 250, Maplewood, MN 55109-5465 | 2007-07-03 |
| 1770600884 | Stephanie J Fox | Allergy & Immunology | 3100 Kennard St, Maplewood, MN 55109-5465 | 2007-03-23 |
| 1902986698 | Carol Lu | Internal Medicine | 3100 Kennard St, Ste 100, Maplewood, MN 55109-5465 | 2006-10-17 |
| 1568559888 | Christopher Neville Ussher | Internal Medicine | 3100 Kennard St, Maplewood, MN 55109-5465 | 2006-10-06 |
| 1396859468 | Jeanne Mackenzie Goodspeed | Pediatrics | 3100 Kennard St, Maplewood, MN 55109 | 2006-08-18 |
| 1467497610 | Kent Davis Bergh | Family Medicine | 3100 Kennard St, Suite 100 Healtheast Physician Service, Maplewood, MN 55109 | 2006-06-19 |
| 1437198694 | Thomas G Dashiell | Internal Medicine | 3100 Kennard St, Ste 100, Maplewood, MN 55109-5465 | 2006-06-05 |
| 1073569943 | Healtheast Medical Research Institute Dba Healtheast Physician Service | Durable Medical Equipment & Medical Supplies | 3100 Kennard St, Suite 100, Maplewood, MN 55109-4569 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275518490 | Sylvia S Lee | Allergy & Immunology | 2130 Millburn Ave, Maplewood, NJ 07040 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265802052 | Integrative Immunity Health System PC | Allergy & Immunology | 6600 France Ave S Ste 600, Edina, MN 55435-1813 | 2015-10-06 |
| 1740393198 | Allergy, Asthma & Pulmonary Associates, Pa | Allergy & Immunology | 1511 Northway Dr Ste 101, Saint Cloud, MN 56303-1262 | 2006-08-17 |
| 1023022613 | Richard John Morris | Allergy & Immunology | 12000 Elm Creek Blvd, Suite 200, Maple Grove, MN 55369-7073 | 2006-07-28 |
| 1154335990 | Pramod S Kelkar | Allergy & Immunology | 12000 Elm Creek Blvd N Ste 360, Maple Grove, MN 55369-7076 | 2006-07-28 |
| 1952315509 | Thomas J Helm | Allergy & Immunology | 12000 Elm Creek Blvd, Suite 360, Maple Grove, MN 55369-7076 | 2006-07-28 |
| 1114962206 | North Clinic, Pa | Allergy & Immunology | 9201 W Broadway Ave, Suite 601, Brooklyn Park, MN 55445-1923 | 2006-06-20 |
| 1821057910 | Amy M Berglin | Allergy & Immunology | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2006-03-20 |
| 1932523321 | Center for Eosinophilic Esophagitis and Food Allergy | Allergy & Immunology | 1511 Northway Dr Ste 101, Saint Cloud, MN 56303-1262 | 2014-02-06 |
| 1548550916 | Britta Sundquist | Allergy & Immunology | 3955 Parklawn Ave Ste 120, Edina, MN 55435 | 2011-04-19 |
| 1255642294 | Aaron Pinion | Allergy & Immunology | 290 Main St Nw, Elk River, MN 55330-1270 | 2010-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WILLIAM B HICKS.
| 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.