John E Hickey (NPI# 1497782205, PAC ID# 5193707933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1497782205 |
| PAC ID by PECOS | 5193707933 |
| Professional Enrollment ID | I20040604000189 |
| Full Name | John E Hickey |
| Organization Legal Name | MID-VALLEY HEALTHCARE INC |
| Address |
675 N 5th St Lebanon OR 97355-2875 |
| Phone Number | 5414516282 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2769391523 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381323 | SAMARITAN LEBANON COMMUNITY HOSPITAL |
| 380022 | SAMARITAN ALBANY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 325 Park St, Lebanon, OR 97355-4229 | 5414517200 | MID-VALLEY HEALTHCARE INC |
| 325 Park St, Suite A, Lebanon, OR 97355-4229 | 5414517200 | MID-VALLEY HEALTHCARE INC |
| 675 N 5th St, Lebanon, OR 97355-2875 | 5414516282 | MID-VALLEY HEALTHCARE INC |
| 675 N 5th St, Suite 200, Lebanon, OR 97355-2875 | 5414516282 | MID-VALLEY HEALTHCARE INC |
| Organization Legal Name | MID-VALLEY HEALTHCARE INC |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jude Thomas Walsh | Clinical Social Worker | Mid-valley Healthcare Inc | 425 N Santiam Hwy, Lebanon, OR 97355-4361 |
| Bridget Marie Shariat | Family Medicine | Mid-valley Healthcare Inc | 679 Main St, Sweet Home, OR 97386-3305 |
| Kristan Michelle Stone | Physician Assistant | Mid-valley Healthcare Inc | 33184 Hwy 228, Halsey, OR 97348-9717 |
| Laura E Sisson | Clinical Psychologist | Mid-valley Healthcare Inc | 100 Mullins Dr, Lebanon, OR 97355-2868 |
| Richard B Halbur | Physician Assistant | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Robert A Abernathy | Internal Medicine | Mid-valley Healthcare Inc | 525 N Santaim Hwy, Lebanon, OR 97355-4363 |
| Jinny A Farrar | Physician Assistant | Mid-valley Healthcare Inc | 325 Park St, Lebanon, OR 97355-4229 |
| Robert T Park | Obstetrics/gynecology | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Thomas E Vanasche | Emergency Medicine | Mid-valley Healthcare Inc | 35 Mullins Dr, Suite 2, Lebanon, OR 97355-3985 |
| Heidi L Grimes | Nurse Practitioner | Mid-valley Healthcare Inc | 325 Park St, Lebanon, OR 97355-4229 |
| Street Address |
675 N 5TH ST |
| City | LEBANON |
| State | OR |
| Zip | 97355-2875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert T Park | Obstetrics/gynecology | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Elena N Noonan | Physician Assistant | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Karen Denise Mallozzi | Nurse Practitioner | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Ashley L St Germain | Obstetrics/gynecology | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Linda Christensen Price | Obstetrics/gynecology | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Janice L Blumer | Family Medicine | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Robin L Richardson | Family Medicine | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Karine Leigh Shearon | Nurse Practitioner | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Ross A Wopat | Urology | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Lawrence Paul Buglino Iii | General Surgery | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Springer | Clinical Social Worker | 1105 S Airport Rd, Lebanon, OR 97355-1211 | |
| Michael W Stoner | Optometry | 350 S, 8th, Lebanon, OR 97355-2242 | |
| Kyle Leland Horner | Dermatology | 2500 S Main Rd, Lebanon, OR 97355-2336 | |
| Roger Munk | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Dennis Pearson | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Caitlin Squires | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Laura E Sisson | Clinical Psychologist | Mid-valley Healthcare Inc | 100 Mullins Dr, Lebanon, OR 97355-2868 |
| Richard B Halbur | Physician Assistant | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Richard C Evans | Family Medicine | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Christopher M Wallis | Physician Assistant | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Find all physicians in zip 97355 | |||
| City | LEBANON |
| Zip Code | 97355 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LEBANON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on John E Hickey.
| 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.