JUSTIN HICKS (NPI# 1629458658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629458658 |
| Entity Type | Individual |
| Full Name | JUSTIN HICKS |
| Credential | D.O. |
| Practice Address |
29000 Center Ridge Rd Westlake OH 44145-5219 |
| Mailing Address |
160 Ellen Dr Wellsburg WV 26070-2249 |
| Practice Telephone | 4408358000 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493119 | Justin John Hicks | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2020-10-08 |
| 1063907939 | Justin James Hicks | Orthopaedic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-06-24 |
| 1427488402 | Justin Hicks | Physical Therapy Assistant | 19401 40th Ave W Ste 330, Lynnwood, WA 98036-5600 | 2013-11-12 |
| 1134388366 | Justin Aaron Hicks | Dentist | 1301 12th Ave S, Suite #100 (lower Level), Great Falls, MT 59405-4600 | 2008-06-03 |
| Street Address |
29000 CENTER RIDGE RD |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333670 | Roy E Seitz | Emergency Medicine | 29000 Center Ridge Rd, St John Medical Center, Westlake, OH 44145-5293 | 2005-08-15 |
| 1710500103 | Maxwell James Jentsch | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-05-20 |
| 1619599586 | Fadel Alkacace | Anesthesiologist Assistant | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-05-13 |
| 1053932079 | Henry Blunk | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-30 |
| 1730709494 | Jessica Wells | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-23 |
| 1750910956 | Golnaz Lahsaee | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-08 |
| 1295364669 | Jessica Kallenborn | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-07 |
| 1427687078 | Jordan Thomas Felice | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-06 |
| 1194354894 | Rachel Kamat | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-04 |
| 1124667803 | Angela Yako | Nurse Anesthetist, Certified Registered | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467081117 | Alexandra Kaye Martin | Student in an Organized Health Care Education/Training Program | 2996 Meadow Ln, Westlake, OH 44145-4940 | 2020-04-05 |
| 1396200556 | Andrew Kettel | Student in an Organized Health Care Education/Training Program | 24579 Hall Dr, Westlake, OH 44145-4911 | 2019-02-01 |
| 1760809446 | Brian Caesar | Student in an Organized Health Care Education/Training Program | 26547 Primrose Ln, Westlake, OH 44145-5491 | 2014-03-19 |
| 1801410691 | Vincent Kay Huynh | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd Ste 150, Westlake, OH 44145-5219 | 2020-06-08 |
| 1710500103 | Maxwell James Jentsch | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-05-20 |
| 1801418280 | Trevor James Lewis | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Road, Bldg 2, Ste 150, Westlake, OH 44145 | 2020-05-08 |
| 1316566300 | Austin Tyler Haines | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd Ste 150, Westlake, OH 44145-5219 | 2020-04-10 |
| 1295364669 | Jessica Kallenborn | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-07 |
| 1194354894 | Rachel Kamat | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-04 |
| 1366070989 | Mejgon Joya | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd Ste 150, Westlake, OH 44145-5219 | 2020-03-30 |
| Find all providers in WESTLAKE | ||||
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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.