MR. PATRICK W HICKEY (NPI# 1740356526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740356526 |
| Entity Type | Individual |
| Full Name | MR. PATRICK W HICKEY |
| Credential | P.A. |
| Practice Address |
620 John Paul Jones Circle Portsmouth VA 23700 |
| Practice Telephone | 7579535008 |
| Mailing Telephone | 7579535008 |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110004808 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1097209 | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | INDEPENDANT DUTY CORPSMAN | 1710I1002X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245354604 | Patrick Joseph Hickey | Counselor | 1132 Sw Luttrell Rd Ste F, Blue Springs, MO 64015-4900 | 2007-03-19 |
| 1699746099 | Patrick E Hickey | Nurse Practitioner | 1773 W Saint Marys Rd Ste 105, Tucson, AZ 85745-2654 | 2006-02-01 |
| 1356856082 | Patrick Wayne Hickey | Nurse Practitioner | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2017-12-04 |
| 1891052569 | Patrick Tarran Hickey | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2012-04-18 |
| 1821203894 | Patrick Thomas Hickey | Psychiatry & Neurology | 932 Morreene Rd, Durham, NC 27705-4410 | 2007-05-13 |
| 1962438523 | Patrick Wilson Hickey | Pediatrics | 6900 Georgia Ave Nw, Wramc- Dept of Pediatrics, Washington, DC 20307-0003 | 2006-06-24 |
| Street Address |
620 JOHN PAUL JONES CIRCLE |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554236 | Kristi Ellen Erickson | Dentist | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2005-08-02 |
| 1891315925 | John Metz | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-18 |
| 1609402890 | Jacob Hall | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Dept of Pediatrics, Portsmouth, VA 23708-2111 | 2020-03-19 |
| 1376196535 | Mikiko Joiner | Dentist | 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-07-17 |
| 1417416330 | Franklin Tochukwu Duruobasa | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Naval Medical Center, Portsmouth, VA 23708 | 2019-03-19 |
| 1861901241 | David Howerin | Psychologist | 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2017-09-28 |
| 1629519939 | Christopher Joseph Bernetski | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Portsmouth, VA 23708-5476 | 2017-03-20 |
| 1306387071 | Anastasia Mercer | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2017-03-15 |
| 1376084327 | Kristopher Robert Lange | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2017-03-10 |
| 1891235537 | Kelly A Murphy | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2017-02-28 |
| Find all providers in the same location | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584869 | Elizabeth Fiorentino | Physician Assistant | 500 Market St Unit 1e, Portsmouth, NH 03801-3456 | 2020-09-30 |
| 1275184970 | Jillian Mccolgan | Physician Assistant | 111 Nh Ave Ste 2, Portsmouth, NH 03801-2864 | 2019-09-24 |
| 1235607193 | Alison Jeanne Mailloux | Physician Assistant | 500 Market St Unit 1b, Portsmouth, NH 03801-3456 | 2018-11-08 |
| 1275051765 | Kevin Dillon Macdonald | Physician Assistant | 1735 27th St Ste 108, Portsmouth, OH 45662-2679 | 2017-09-05 |
| 1104147701 | Erica Nania | Physician Assistant | 155 Borthwick Ave Ste 202w, Portsmouth, NH 03801-7119 | 2010-06-17 |
| 1215255658 | Jennifer D. Roberts Do LLC | Physician Assistant | 1735 27th St Ste 206a, Portsmouth, OH 45662-0009 | 2010-05-10 |
| 1972739332 | Shannon J. Hanvey | Physician Assistant | 3235 Academy Ave Ste 101, Portsmouth, VA 23703-3200 | 2009-05-29 |
| 1548409717 | Zachary Nathanial Latimer | Physician Assistant | 330 Borthwick Ave Ste 107, Portsmouth, NH 03801-7110 | 2009-02-11 |
| 1053496380 | Michael D Steely | Physician Assistant | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 | 2006-10-26 |
| 1326080250 | Kathy A Long | Physician Assistant | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 | 2006-06-12 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23700 |
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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.