Jeffrey A Hicklin (NPI# 1083729222, PAC ID# 3173606332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1083729222 |
| PAC ID by PECOS | 3173606332 |
| Professional Enrollment ID | I20100707000117 |
| Full Name | Jeffrey A Hicklin |
| Organization Legal Name | REGIONAL IMAGING, LLC |
| Address |
8000 College Blvd Overland Park KS 66210-1822 |
| Phone Number | 9133383344 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5991713885 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| 170203 | PREMIER SURGICAL INSTITUTE |
| 260085 | ST JOSEPH MEDICAL CENTER |
| 260193 | ST MARYS MEDICAL CENTER |
| 170188 | KANSAS CITY ORTHOPAEDIC INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 615 W Nursery St, Butler, MO 64730-1840 | 6602007000 | ALLIANCE RADIOLOGY PA |
| 11717 W 112th St, Overland Park, KS 66210-2761 | 9134698998 | JOHNSON COUNTY IMAGING CENTER, INC |
| 8000 College Blvd, Overland Park, KS 66210-1822 | 9133383344 | REGIONAL IMAGING, LLC |
| 9100 W 14th St, Shawnee Mission, KS 66204-4004 | 9136762310 | ALLIANCE RADIOLOGY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 63% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 63% |
| Organization Legal Name | REGIONAL IMAGING, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard D Miller | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Kavita Gorantla | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Mark James Clifft | Interventional Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Corey W Chopra | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Terry S Lee | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Jeremy J Jagoda | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Andy Lee Anderson | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| John H Mcmillan | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Street Address |
8000 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66210-1822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard D Miller | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Kavita Gorantla | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Mark James Clifft | Interventional Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Corey W Chopra | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Terry S Lee | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Jeremy J Jagoda | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Andy Lee Anderson | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| John H Mcmillan | Diagnostic Radiology | Regional Imaging, LLC | 8000 College Blvd, Overland Park, KS 66210-1822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary C Watt | Nurse Practitioner | Body Guitar LLC | 11040 Oakmont St, Overland Park, KS 66210-1100 |
| Sean M Wheeler | Interventional Pain Management | Body Guitar LLC | 11040 Oakmont St, Overland Park, KS 66210-1100 |
| Katherine A Keaton | Nurse Practitioner | Joy E Cuezze Md LLC | 12100 W 109th St, Delmar Gardens Overland Park, Overland Park, KS 66210-1200 |
| Constance Marie Irick | Family Medicine | 11020 King St, Suite 220, Overland Park, KS 66210-1201 | |
| Lawton A Hicks | Certified Registered Nurse Anesthetist (crna) | 10995 Quivira Rd, Overland Park, KS 66210-1207 | |
| Mahoua Ray | Pain Management | Anesthesiology Professionals Pa | 10995 Quivira Rd, Overland Park, KS 66210-1207 |
| Tonya L Miles | Psychologist, Clinical | 11011 King St, Suite 290, Overland Park, KS 66210-1213 | |
| Caroline M Chang | Ophthalmology | Heart of America Eye Care, P.a. | 10985 Cody St, Suite 120, Overland Park, KS 66210-1219 |
| Jodianne T Carter | Ophthalmology | Heart of America Eye Care, P.a. | 10985 Cody St, Suite 120, Overland Park, KS 66210-1219 |
| Stephanie A Erker | Optometry | Heart of America Eye Care, P.a. | 10985 Cody St, Suite 120, Overland Park, KS 66210-1219 |
| Find all physicians in zip 66210 | |||
| City | OVERLAND PARK |
| Zip Code | 66210 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | OVERLAND PARK + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jeffrey A Hicklin.
| 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.