JOHN HICKS (NPI# 1962632679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962632679 |
| Entity Type | Individual |
| Full Name | JOHN HICKS |
| Credential | MD |
| Practice Address |
6071 W Outer Dr Detroit MI 48235-2624 |
| Mailing Address |
100 Riverfront Dr Apt 1303 Detroit MI 48226-4538 |
| Practice Telephone | 3139661020 |
| Mailing Telephone | 5613795252 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301095300 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629578208 | John Hicks | Dermatology | 1345 Mendavia Ave, Coral Gables, FL 33146-1103 | 2018-02-20 |
| 1073976346 | John Burris Hicks IIi | Pediatrics | 34055 Solon Rd Ste 202, Solon, OH 44139-2663 | 2016-04-03 |
| 1124114939 | John B Hicks | Specialist/Technologist | 1880 N Perry Street Suite 100, Ottawa, OH 45875 | 2006-10-05 |
| 1942204284 | John B Hicks | Internal Medicine | 1213 56th St, Meridian, MS 39305-1447 | 2005-06-01 |
| 1942665799 | John Hicks | Social Worker | 85 Old Eagle School Rd, Suite 200, Strafford, PA 19087-2556 | 2015-12-21 |
| 1295025419 | John B Hicks | Counselor | 18714 River Ford Dr, Davidson, NC 28036-8816 | 2011-04-08 |
| 1801019666 | John M Hicks | Orthopaedic Surgery | 800 Fleming St, Hendersonville, NC 28791-3528 | 2007-04-10 |
| 1740215573 | John L Hicks | Dentist | 1702 University Dr S, Fargo, ND 58103-4940 | 2006-07-11 |
| 1528017951 | John R. Hicks II | Specialist | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2006-05-10 |
| 1104802388 | John Trimmer Hicks | Internal Medicine | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2005-12-19 |
| Street Address |
6071 W OUTER DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836806 | Select Specialty Hospital - Northwest Detroit Inc | Long Term Care Hospital | 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 | 2005-07-26 |
| 1356965198 | Anielle Ball | Registered Nurse | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-06-07 |
| 1427672708 | Nitesh Kumar Byrappa | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-06-03 |
| 1992327969 | Chandima Jinani Herath Mudiyanselage | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235 | 2020-05-13 |
| 1790307783 | Patrick Riedy | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-05-12 |
| 1518589878 | Nnadozie Okoroafor | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-05-09 |
| 1720609803 | Charmayne Gail Cooley | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-30 |
| 1841811890 | Noren Din | Internal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-30 |
| 1962023069 | Haseeb Khan | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-29 |
| 1285255570 | Edward Park | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
| 1487005831 | Mohamed Serhan Hamam | Emergency Medicine | 1350 W Bethune St Apt 1908, Detroit, MI 48202-2667 | 2016-06-28 |
| 1548618036 | Mark Molnar | Emergency Medicine | 4201 Staint Antoine 6g Uhc, Detroit, MI 48201 | 2016-05-25 |
| 1871911321 | Brandon Charles Busuito | Emergency Medicine | 3909 Woodward Ave Apt 302, Detroit, MI 48201-2088 | 2014-04-02 |
| 1477816346 | Michael Khalil | Emergency Medicine | 4201 St Antoine Ste 3r, Detroit, MI 48201-1446 | 2012-06-16 |
| 1346521457 | Ralphe Bou Chebl | Emergency Medicine | 1350 W Bethune St Apt 1106, Detroit, MI 48202-2664 | 2011-09-01 |
| 1407144942 | Megan Dougherty | Emergency Medicine | 4201 St Antoine Uhc 9c, Detroit, MI 48201 | 2011-07-19 |
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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.