Matthew D Hicks (NPI# 1093159352, PAC ID# 0143520072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1093159352 |
| PAC ID by PECOS | 0143520072 |
| Professional Enrollment ID | I20151130000095 |
| Full Name | Matthew D Hicks |
| Organization Legal Name | PHYSICIANS IN EMERGENCY MEDICINE PSC |
| Address |
200 Abraham Flexner Way Louisville KY 40202-2877 |
| Phone Number | 5025874421 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8628974433 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 5025874421 | PHYSICIANS IN EMERGENCY MEDICINE PSC |
| Organization Legal Name | PHYSICIANS IN EMERGENCY MEDICINE PSC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly E Goshorn | Nurse Practitioner | Physicians In Emergency Medicine Psc | 200 Abraham Flexner Way, Louisville, KY 40202-2877 |
| Thomas D Johnston Vi | Emergency Medicine | Physicians In Emergency Medicine Psc | 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 |
| George E Stephens | Emergency Medicine | Physicians In Emergency Medicine Psc | 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 |
| Kimberly D Broughton-miller | Nurse Practitioner | Physicians In Emergency Medicine Psc | 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 |
| Stuart H Hagan | Emergency Medicine | Physicians In Emergency Medicine Psc | 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 |
| Tracy S Fischer | Emergency Medicine | Physicians In Emergency Medicine Psc | 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 |
| Andrew E Bingham | Emergency Medicine | Physicians In Emergency Medicine Psc | 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 |
| Sandra K Archibald | Emergency Medicine | Physicians In Emergency Medicine Psc | 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 |
| Jennifer D Huffstickler | Emergency Medicine | Physicians In Emergency Medicine Psc | 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 |
| Zachary E Armstrong | Emergency Medicine | Physicians In Emergency Medicine Psc | 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 |
| Street Address |
200 ABRAHAM FLEXNER WAY |
| City | LOUISVILLE |
| State | KY |
| Zip | 40202-2877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Blake | Nurse Practitioner | Komg-louisville Region Inc | 200 Abraham Flexner Way, Pallative and Hospice, Louisville, KY 40202-2877 |
| Praveen Seshabhattar | Internal Medicine | Komg-louisville Region Inc | 200 Abraham Flexner Way, Hma Dept, Louisville, KY 40202-1886 |
| Sharon M Hubbard | Certified Registered Nurse Anesthetist (crna) | University of Louisville Physicians, Inc | 200 Abraham Flexner Way, Louisville, KY 40202-1886 |
| John W Burckle | Physician Assistant | Komg-louisville Region Inc | 200 Abraham Flexner Way, Hma Dept, Louisville, KY 40202-1886 |
| Henry Edward Moeller | Anesthesiology | University of Louisville Physicians, Inc | 200 Abraham Flexner Way, Louisville, KY 40202-1886 |
| Kelly E Goshorn | Nurse Practitioner | Physicians In Emergency Medicine Psc | 200 Abraham Flexner Way, Louisville, KY 40202-2877 |
| Jeffrey A Yunkun | Anesthesiology | University of Louisville Physicians, Inc | 200 Abraham Flexner Way, Louisville, KY 40202-1886 |
| Timothy A Heine | Anesthesiology | University of Louisville Physicians, Inc | 200 Abraham Flexner Way, Louisville, KY 40202-1886 |
| Scott A Hardin | Anesthesiology | University of Louisville Physicians, Inc | 200 Abraham Flexner Way, Louisville, KY 40202-1886 |
| John M Wilson | Anesthesiology | University of Louisville Physicians, Inc | 200 Abraham Flexner Way, Louisville, KY 40202-1886 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Becker | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Elizabeth A Mills | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Barry R Pecha | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Ryan J Malone | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephan J Sweitzer | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Kelly M Gollar | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| David H Rosenbaum | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Richard N Medley Iii | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephanie A Corbett | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephanie A Flaspoehler | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Find all physicians in zip 40202 | |||
| City | LOUISVILLE |
| Zip Code | 40202 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LOUISVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Matthew D Hicks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.