Michael A Hicks (NPI# 1225262108, PAC ID# 5698912517) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225262108 |
| PAC ID by PECOS | 5698912517 |
| Professional Enrollment ID | I20130514000438 |
| Full Name | Michael A Hicks |
| Organization Legal Name | EXPRESS FAMILY CARE |
| Address |
300 S Main St Crescent City FL 32112-2729 |
| Phone Number | 3866981221 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385888551 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100232 | PUTNAM COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 S Main St, Crescent City, FL 32112-2729 | 3866981221 | EXPRESS FAMILY CARE |
| 6500 Crill Ave, Palatka, FL 32177-9230 | 3863260575 | EXPRESS FAMILY CARE |
| Organization Legal Name | EXPRESS FAMILY CARE |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth B Roberts | Nurse Practitioner | Express Family Care | 6500 Crill Ave, Palatka, FL 32177-9230 |
| Robert B Pendrak | Family Medicine | Express Family Care | 6500 Crill Ave, Palatka, FL 32177-9230 |
| Rebeca Juarbe Arrillaga | Internal Medicine | Express Family Care | 300 S Main St, Crescent City, FL 32112-2729 |
| Shirine Gharda | Emergency Medicine | Express Family Care | 6500 Crill Ave, Palatka, FL 32177-9230 |
| Ursula Kisiel | Family Practice | Express Family Care | 300 S Main St, Crescent City, FL 32112-2729 |
| Street Address |
300 S MAIN ST |
| City | CRESCENT CITY |
| State | FL |
| Zip | 32112-2729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackie D Kumm | Nurse Practitioner | Cass Regional Medical Center | 300 S Main St, Peculiar Medical Clinic, Peculiar, MO 64078-9603 |
| Molly R Urton | Nurse Practitioner | Cass Regional Medical Center | 300 S Main St, Peculiar Medical Clinic, Peculiar, MO 64078-9603 |
| Monica Master | Nurse Practitioner | Amg - Southern Tennessee, LLC | 300 S Main St, Estill Springs, TN 37330-4042 |
| John Glen Carson | Nurse Practitioner | Amg - Southern Tennessee, LLC | 300 S Main St, Estill Springs, TN 37330-4042 |
| John C Milanick | Family Medicine | Medex Medical Express of Palatka LLC | 300 S Main St, Crescent City, FL 32112-2729 |
| William T Swearingen | Family Medicine | Norman Regional Providers-primary Care | 300 S Main St, Primary Care Newcastle, Newcastle, OK 73065-5403 |
| Edwin C Winder Iii | Optometry | 300 S Main St, Tooele, UT 84074-2746 | |
| Kenneth W Petersen | Orthopedic Surgery | Cass Regional Medical Center | 300 S Main St, Peculiar Medical Clinic, Peculiar, MO 64078-9603 |
| Rebeca Juarbe Arrillaga | Internal Medicine | Express Family Care | 300 S Main St, Crescent City, FL 32112-2729 |
| Walter J Boyanton Iii | Family Medicine | Amg - Southern Tennessee, LLC | 300 S Main St, Estill Springs, TN 37330-4042 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moustafa M Eldick | Internal Medicine | 899 N Summit St, Crescent City, FL 32112-2109 | |
| Maria-josefina Rivera | Family Practice | 811 N Summit St, Crescent City, FL 32112-2191 | |
| Ursula Kisiel | Family Practice | Express Family Care | 300 S Main St, Crescent City, FL 32112-2729 |
| Edward D Risch | Orthopedic Surgery | Medex Medical Express of Palatka LLC | 300 S Main St, Crescent City, FL 32112-2729 |
| Robert Alan Gommel | Chiropractic | 26 S Prospect St, Crescent City, FL 32112-2814 | |
| Iris Rodriguez | Family Medicine | Rural Health Care Incorporated | 306 Union Ave, Crescent City, FL 32112-4432 |
| Isabel E Betancourt Otanez | Physician Assistant | Rural Health Care Incorporated | 306 Union Ave, Crescent City, FL 32112-4432 |
| City | CRESCENT CITY |
| Zip Code | 32112 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CRESCENT CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael A 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.