Ryan-niko Hickman (NPI# 1821224635, PAC ID# 4183883085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1821224635 |
| PAC ID by PECOS | 4183883085 |
| Professional Enrollment ID | I20181218002786 |
| Full Name | Ryan-niko Hickman |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Address |
1739 E Beverly Ave Kingman AZ 86409-3593 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | SPORTS MEDICINE |
| Group Practice PAC ID | 6901791367 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4995 E Hwy 68, Suite 1, Golden Valley, AZ 86413-5500 | 9286818500 | KINGMAN HOSPITAL INC |
| 1739 E Beverly Ave, Kingman, AZ 86409-3593 | KINGMAN HOSPITAL INC |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Harris Kaplan | Gastroenterology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 101, Kingman, AZ 86409-3593 |
| Kathleen B Walton | Nurse Practitioner | Kingman Hospital Inc | 4995 E Hwy 68, Suite 1, Golden Valley, AZ 86413-5500 |
| Michael Deboer | Family Medicine | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Ben Tacheron | Pain Management | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Christopher A Porter Iv | Interventional Radiology | Kingman Hospital Inc | 1033 Sycamore Ave, Kingman, AZ 86409-3580 |
| Eric E Capriles | General Surgery | Kingman Hospital Inc | 3104 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Kale Bodily | Diagnostic Radiology | Kingman Hospital Inc | 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401-4142 |
| Sungnam Joe | Internal Medicine | Kingman Hospital Inc | 2226 Hualapai Mountain Rd, Suite 101, Kingman, AZ 86401-8374 |
| Daniel M Riesenberg | Urology | Kingman Hospital Inc | 1712 Sycamore Ave, Kingman, AZ 86409-0927 |
| Deborah Raye Bennett | Family Medicine | Kingman Hospital Inc | 3116 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Street Address |
1739 E BEVERLY AVE |
| City | KINGMAN |
| State | AZ |
| Zip | 86409-3593 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Harris Kaplan | Gastroenterology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 101, Kingman, AZ 86409-3593 |
| Tessa Elisabeth Baumgardner | Anesthesiology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 204, Kingman, AZ 86409-3593 |
| Rachel Rae Delfino Briles | Nurse Practitioner | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 203, Kingman, AZ 86409-3593 |
| Kenneth D Jackson | Obstetrics/gynecology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 200, Kingman, AZ 86409-3593 |
| Lisa Marie Land | Nurse Practitioner | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 203, Kingman, AZ 86409-3593 |
| Vinod Kumar Singh | Gastroenterology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 101, Kingman, AZ 86409-3593 |
| Mohammed A Al-amoodi | Cardiovascular Disease (cardiology) | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 217, Kingman, AZ 86409-3593 |
| Peter Peifer | Physician Assistant | Kingman Hospital Inc | 1739 E Beverly Ave, Kingman, AZ 86409-3593 |
| Christian R Garcia | Obstetrics/gynecology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 200, Kingman, AZ 86409-3593 |
| Robert G Matheny | Pulmonary Disease | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 203, Kingman, AZ 86409-3593 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra B Fedie | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| John A Weidner | Family Medicine | 3636 Stockton Hill Rd, Suite 2, Kingman, AZ 86409-0514 | |
| Jillian Musick | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Antony I Mwangi | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Muhammad A Khan | General Surgery | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Karen Gwinn | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Munawar A Paracha | Neurology | 1708 Sycamore Ave, Kingman, AZ 86409-0927 | |
| Marie Bridget Moran | Nurse Practitioner | Mohave Mental Health Clinic Inc | 1741 Sycamore Ave, Kingman, AZ 86409-0927 |
| Michael S Serrano | Nurse Practitioner | Mohave Mental Health Clinic Inc | 3505 Western Ave, Kingman, AZ 86409-0927 |
| Annika J Bergeson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Find all physicians in zip 86409 | |||
| City | KINGMAN |
| Zip Code | 86409 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | KINGMAN + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Ryan-niko Hickman.
| 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.