Edward Hicks (NPI# 1457567950, PAC ID# 5294902284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1457567950 |
| PAC ID by PECOS | 5294902284 |
| Professional Enrollment ID | I20120113000623 |
| Full Name | Edward Hicks |
| Address |
123 S Broad St Philadelphia PA 19109-1029 |
| Phone Number | 2157324388 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 123 S Broad St, Philadelphia, PA 19109-1029 | 2157324388 | |
| 123 S Broad St, Suite 2145, Philadelphia, PA 19109-1029 | 2157324388 |
| Street Address |
123 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19109-1029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris Grundy | Psychologist, Clinical | 123 S Broad St, Suite 2540, Philadelphia, PA 19109-1029 | |
| Adrian Chiu | Psychologist, Clinical | 123 S Broad St, Suite 1948, Philadelphia, PA 19109-1029 |
| City | PHILADELPHIA |
| Zip Code | 19109 |
| Specialty | PSYCHIATRY |
| City + Specialty | PHILADELPHIA + PSYCHIATRY |
Please comment or provide details below to improve the information on Edward 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.