DR. LAURENCE V HICKS (NPI# 1730283250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730283250 |
| Entity Type | Individual |
| Full Name | DR. LAURENCE V HICKS |
| Credential | D.O. |
| Practice Address |
236 Martin St Twin Falls ID 83301-4542 |
| Practice Telephone | 2087334444 |
| Practice Fax Number | 2087334456 |
| Mailing Telephone | 2087334444 |
| Mailing Fax Number | 2087334456 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | O-180 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 80416400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265721716 | Laurence Michael Hicks Jr. | Counselor | 5403 Nettle Way, Las Vegas, NV 89135-4030 | 2011-04-06 |
| Street Address |
236 MARTIN ST |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004412 | Larry Hicks | Physician Assistant | 236 Martin St, Twin Falls, ID 83301-4542 | 2020-02-10 |
| 1467966671 | Geoffrey Neil Hicks | Nurse Practitioner | 236 Martin St, Twin Falls, ID 83301-4542 | 2017-11-27 |
| 1962916304 | Falls Centre for Functional Medicine, Pllc. | Pain Medicine | 236 Martin St, Twin Falls, ID 83301-4542 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447632948 | Jessica Mendez | Family Medicine | 730 N College Rd Ste A, Twin Falls, ID 83301 | 2015-06-22 |
| 1407246929 | Camille Smith Do Pa | Family Medicine | 464 Mahard Dr, Twin Falls, ID 83301-0275 | 2015-02-04 |
| 1558709121 | Garrett A Bentley | Family Medicine | 2550 Addison Ave E Ste B, Twin Falls, ID 83301-6748 | 2013-06-05 |
| 1871881052 | Chad J Johnson | Family Medicine | 738 N. College Rd., Suite A, Twin Falls, ID 83301 | 2011-07-21 |
| 1164629887 | Nichole S Halverson | Family Medicine | 526 Shoup Ave W Ste F, Twin Falls, ID 83301-5050 | 2007-06-27 |
| 1558491936 | Jonathan Paul Tripp | Family Medicine | 1411 Fillmore St, Ste 600, Twin Falls, ID 83301-3343 | 2007-03-06 |
| 1598846826 | Camille Smith | Family Medicine | 370 N Haven Dr, Ste 101, Twin Falls, ID 83301-5788 | 2006-10-17 |
| 1932144748 | Randall J Slickers | Family Medicine | 550 Polk St, Suite B, Twin Falls, ID 83301-3916 | 2006-06-17 |
| 1811938285 | David Kurt Seppi | Family Medicine | 630 Addison Ave W, Suite100, Twin Falls, ID 83301-5491 | 2006-06-09 |
| 1790723690 | Randall J Slickers, M.d., P.C. | Family Medicine | 1235 Filer Ave E, Twin Falls, ID 83301-4118 | 2006-06-03 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.