DR. WILLIAM JOSEPH HICKEN (NPI# 1881617389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881617389 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOSEPH HICKEN |
| Credential | M.D. |
| Practice Address |
900 Caton Ave Baltimore MD 21229-5201 |
| Practice Telephone | 4103683050 |
| Practice Fax Number | 4103683572 |
| Mailing Telephone | 4103683050 |
| Mailing Fax Number | 4103683572 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
D04964 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BLUE SHIELD | W2270001 | 01 |
| MD | BLUE SHIELD | 61489901 | 01 |
| Street Address |
900 CATON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617021 | Susan L Behen | Surgery | 900 Caton Ave, Baltimore, MD 21229-5201 | 2005-05-23 |
| 1992326532 | Seton Medical Group, Inc | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-05-06 |
| 1801416821 | Deanna Dong | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-04-20 |
| 1780225326 | St. Agnes Healthcare, Inc. | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-10-04 |
| 1346890886 | Mary B Krause | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1447800974 | Tyrone Qualls | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1669020301 | Lori Anne Massey | Nurse Practitioner | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-08-27 |
| 1265086649 | Lilia Gutierrez Villarin | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-07-24 |
| 1699328245 | St. Agnes Healthcare, Inc. | Audiologist-Hearing Aid Fitter | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-07-23 |
| 1780168351 | Ahmad Ali Al-abdouh | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356618144 | Steven Brotman | Pathology | 3904 Saint Paul St, Baltimore, MD 21218-1829 | 2011-11-21 |
| 1811031370 | Borislav Alexiev | Pathology | 250 W Pratt St Ste 780, Baltimore, MD 21201-2470 | 2007-02-17 |
| 1720071459 | Peter Illei | Pathology | 401 N Broadway St, Weinberg Bldg. Rm. 2242, Baltimore, MD 21231-2410 | 2005-08-29 |
| 1902463375 | Michael Herman Chui | Pathology | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-05-21 |
| 1457701427 | Robert Francis Moore | Pathology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2016-06-20 |
| 1821437781 | Adina Tali Paulk | Pathology | 10 S Pine St, 7th Floor, Baltimore, MD 21201-1116 | 2013-06-24 |
| 1346686953 | Emily Wilding | Pathology | 22 S Greene St, University of Maryland, Baltimore, MD 21201-1544 | 2013-05-22 |
| 1710220264 | Heather Marion Ames | Pathology | 22 S Greene St Dept Of, Baltimore, MD 21201 | 2013-04-03 |
| 1326381898 | Teklu Bekele Legesse | Pathology | 22 S Greene St, Baltimore, MD 21201-1544 | 2013-04-02 |
| 1215291455 | David Steven Priemer | Pathology | 600 N Wolfe St, Pathology, B-101, Baltimore, MD 21287-0005 | 2012-07-03 |
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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.