Kimberly Hicks (NPI# 1972661254, PAC ID# 2163411067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972661254 |
| PAC ID by PECOS | 2163411067 |
| Professional Enrollment ID | I20040506001574 |
| Full Name | Kimberly Hicks |
| Address |
3317 Elm St Suite 102 Oakland CA 94609-3053 |
| Phone Number | 5105959880 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3317 Elm St, Suite 102, Oakland, CA 94609-3053 | 5105959880 |
| Street Address |
3317 ELM ST SUITE 102 |
| City | OAKLAND |
| State | CA |
| Zip | 94609-3053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia A Frederick | Chiropractic | 6434 Telegraph Ave, Oakland, CA 94609-1112 | |
| Douglas B Ross | Chiropractic | 6434 Telegraph Ave, Oakland, CA 94609-1112 | |
| Andrea L Long | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Richard W Burg | Chiropractic | 6330 Telegraph Ave, Oakland, CA 94609-1329 | |
| Lisa Gibson | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Dawn J Loretz | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Kathryn Rittenberg | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Nancy Kathleen Bryan | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Chelsea S Landolin | Nurse Practitioner | Bonita House, Inc. | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 |
| Manton S Hurd | Nurse Practitioner | Bonita House, Inc. | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 |
| Find all physicians in zip 94609 | |||
| City | OAKLAND |
| Zip Code | 94609 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OAKLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kimberly 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.