BENJAMIN T HICKS


Address: 715 N Weber St, Colorado Springs, CO 80903-1091
Phone: 7194736115

BENJAMIN T HICKS (NPI# 1982149845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982149845
Entity Type Individual
Full Name BENJAMIN T HICKS
Credential PA-C
Practice Address 715 N Weber St
Colorado Springs
CO 80903-1091
Mailing Address 1400 E Boulder St
Colorado Springs
CO 80909-5533
Practice Telephone 7194736115
Practice Fax Number 7194733688
Mailing Telephone 7193651292
Mailing Fax Number 7193656997
Enumeration Date 2017-01-03
Last Update Date 2018-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA.0004911 CO Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant CO Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA.0004911 CO Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA.0004911 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 9000141686 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 E Boulder St, Colorado Springs, CO 809095533 7193651292 7193656997

Other Providers BENJAMIN HICKS

NPI Name Taxonomy Address Enumeration
1396971727 Benjamin Ferrill Hicks Jr. Family Medicine 1330 Crest Road, Del Mar, CA 92014-2529 2009-05-29
1891988481 Benjamin Hicks Internal Medicine 4502 East 41st St, Tulsa, OK 74125-2512 2007-08-27
1740899335 Benjamin David Hicks Dentist 6000 Us-98, Pensacola, FL 32512-0001 2020-07-29
1114315140 Benjamin Hicks Specialist/Technologist 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 2014-12-29
1184961963 Benjamin L Hicks Anesthesiologist Assistant 417 W 3rd Ave, Albany, GA 31701-1943 2013-01-14
1124353099 Benjamin J Hicks Family Medicine 827 S Jackson St, Osceola, IA 50213-1666 2009-10-12
1780687707 Benjamin Matthew Hicks Orthopaedic Surgery 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 2005-05-23

Office Location

Street Address 715 N WEBER ST
City COLORADO SPRINGS
State CO
Zip Code 80903-1091

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962486829 Charles Joseph Moss IIi Nurse Anesthetist, Certified Registered 715 N Weber St, Colorado Springs, CO 80903-1091 2005-12-05
1326563537 Optumcare Colorado Asc, LLC Clinic/Center 715 N Weber St, Colorado Springs, CO 80903-1091 2017-08-08
1649474321 Dr Abbass Shafii M D P C Specialist 715 N Weber St, Suite 100, Colorado Springs, CO 80903-1091 2007-06-14
1407993132 Digestive Disease Endoscopy Center Clinic/Center 715 N Weber St, Colorado Springs, CO 80903-1091 2007-01-31
1386793834 Geraldine E Kiernan Nurse Anesthetist, Certified Registered 715 N Weber St, Suite 100, Colorado Springs, CO 80903-1091 2007-01-10
1548218662 Abbass Shafii Specialist 715 N Weber St, Colorado Springs, CO 80903-1091 2006-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235752437 Lisa Mae Bunch Behavior Technician 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 2020-05-21
1164045407 Lajanae Davis Behavior Technician 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 2020-05-21
1144855321 Quinn Macdonald Specialist/Technologist 1332 N Weber Street, Colorado Springs, CO 80903 2020-03-08
1043784994 Neuro Peak Performance, LLC Counselor 801 N. Weber St Suite 101, Colorado Springs, CO 80903 2019-01-14
1356828297 Heart of The Phoenix, LLC Social Worker 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 2018-07-24
1699269290 Jenevieve Marie Briand Day Training/Habilitation Specialist 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 2018-06-18
1669983292 Robin Dina Shankman Massage Therapist 127 E. Las Animas, Colorado Springs, CO 80903 2017-10-23
1023559804 Sean Michael Blumahrdt Specialist/Technologist, Other 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 2017-03-14
1366980682 Edge Medical Services Clinic/Center 152 West Colorado Ave, Colorado Springs, CO 80903 2017-02-07
1093267890 Brittany Nicole Holmes Behavioral Analyst 938 S Sierra Madre, Colorado Springs, CO 80903 2016-10-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265054431 Kimberly Goyack Physician Assistant 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 2020-05-11
1891316089 Chase Devalk Physician Assistant 560 Thames Dr, Colorado Springs, CO 80906-4839 2020-04-29
1841846193 Caroline Selting Physician Assistant 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 2019-08-13
1578121935 Raymond Shaun Wolff Physician Assistant 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 2019-05-31
1063996288 Matthew Steven Chernikovich Physician Assistant 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 2018-09-24
1649798018 Adam Robert Sahlberg Physician Assistant 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 2017-09-06
1851821334 Jennifer Abbott Physician Assistant 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 2017-06-15
1912431081 Brandon Eliott Griffis Physician Assistant 3803 N Chestnut St, Colorado Springs, CO 80907-4107 2017-04-16
1508309709 Aleksandr M Kaplun Physician Assistant 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 2016-11-21
1972059038 Shelby Lynne Ransdell Physician Assistant 116 Sherri Dr, Colorado Springs, CO 80911-1447 2016-08-29
Find all providers in COLORADO SPRINGS

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City COLORADO SPRINGS
Zip Code 80903

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Dataset Information

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.

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