Timothy W Hickerson (NPI# 1659371045, PAC ID# 2365568243) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1659371045 |
| PAC ID by PECOS | 2365568243 |
| Professional Enrollment ID | I20100928001526 |
| Full Name | Timothy W Hickerson |
| Address |
2331 Derr Rd Springfield OH 45503-2439 |
| Phone Number | 9373903040 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360086 | SPRINGFIELD REGIONAL MEDICAL CENTER |
| 360355 | OHIO VALLEY MEDICAL CENTER, LLC |
| 360360 | SOIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2331 Derr Rd, Springfield, OH 45503-2439 | 9373903040 |
| Street Address |
2331 DERR RD |
| City | SPRINGFIELD |
| State | OH |
| Zip | 45503-2439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Carter | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2610 N Limestone St, Springfield, OH 45503-1114 |
| Briana Lynne Deacon | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2610 N Limestone St, Springfield, OH 45503-1114 |
| Eric J Ashford | Anesthesiology | Northstar Anesthesia of Ohio LLC | 2610 N Limestone St, Springfield, OH 45503-1114 |
| Sandy Danielle Turner | Family Medicine | Mercy Health Physicians Cincinnati LLC | 211 Northparke Dr, Springfield, OH 45503-1117 |
| Sami Muhammad Khan | Family Medicine | Mercy Health Physicians Cincinnati LLC | 211 Northparke Dr, Springfield, OH 45503-1117 |
| Joseph M Smith | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Libby Jo Wilson | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Laura B Thompson | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Alper Sarihan | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Kelly Debrosse | Nurse Practitioner | Ob Gyn Ltd | 1108 Vester Ave, Springfield, OH 45503-1302 |
| Find all physicians in zip 45503 | |||
| City | SPRINGFIELD |
| Zip Code | 45503 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SPRINGFIELD + INTERNAL MEDICINE |
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| 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.