Jimmy Hicks (NPI# 1871585430, PAC ID# 9335118793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1871585430 |
| PAC ID by PECOS | 9335118793 |
| Professional Enrollment ID | I20041001000393 |
| Full Name | Jimmy Hicks |
| Organization Legal Name | KENTUCKY ANESTHESIA GROUP PSC |
| Address |
1 Trillium Way Corbin KY 40701-8727 |
| Phone Number | 6065281212 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4082527890 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180011 | SAINT JOSEPH LONDON |
| 180132 | LAKE CUMBERLAND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Trillium Way, Corbin, KY 40701-8727 | 6065281212 | KENTUCKY ANESTHESIA GROUP PSC |
| 425 Lewis Hargett Cir, Lexington, KY 40503-3590 | 8592681030 | CUMBERLAND ANESTHESIA ASSOCIATES, INC. |
| Organization Legal Name | KENTUCKY ANESTHESIA GROUP PSC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Harwood | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 5000 Kentucky, Suite 321, Prestonsburg, KY 41653 |
| Stanley A Kristiansen | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
| Michael D. Goodwin | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Crystal Carpenter | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Corissa L. Stovall | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Harry A Morgan | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Benjamin T Kabel | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Bradford A Shelby | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Anthony Jay Lopez | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Jason E Wilson | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Street Address |
1 TRILLIUM WAY |
| City | CORBIN |
| State | KY |
| Zip | 40701-8727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Harkleroad | Family Medicine | Southeastern Emergency Physicians LLC | 1 Trillium Way, Corbin, KY 40701-8420 |
| Jacob A Bishop | Psychiatry | Baptist Health Medical Group Inc | 1 Trillium Way, Corbin, KY 40701-8420 |
| Swati Yalamanchi | Medical Oncology | Baptist Health Medical Group Inc | 1 Trillium Way, Corbin, KY 40701-8420 |
| Julie A Poore | Nurse Practitioner | Southeastern Emergency Services P C | 1 Trillium Way, Corbin, KY 40701-8420 |
| Ronald Chevine Fleming | Internal Medicine | Southeastern Emergency Physicians LLC | 1 Trillium Way, Corbin, KY 40701-8420 |
| Brittany M Hopkins | Nurse Practitioner | Baptist Health Medical Group Inc | 1 Trillium Way, Corbin, KY 40701-8420 |
| Corissa L. Stovall | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Wajdi S Kfoury | Infectious Disease | Kfoury Medical Specialists Pllc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Tyrus M White Jr. | Hematology/oncology | Baptist Health Medical Group Inc | 1 Trillium Way, Corbin, KY 40701-8420 |
| Benjamin T Kabel | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Brandon | Physician Assistant | Baptist Health Medical Group Inc | 14949 N Us Hwy 25, Suite 4, Corbin, KY 40701 |
| Jonathan M Martin | Psychiatry | Baptist Health Medical Group Inc | 14949 N Us Hwy 25, Suite 4, Corbin, KY 40701 |
| Ibukun Julia Akinboyewa | Family Medicine | Baptist Health Medical Group Inc | 14949 N Us Hwy 25, Suite 4, Corbin, KY 40701 |
| Michael T Wells | Family Medicine | Baptist Health Medical Group Inc | 14949 N Us Hwy 25, Suite 4, Corbin, KY 40701 |
| Sean Arora | Family Medicine | Baptist Health Medical Group Inc | 14949 N Us Hwy 25, Suite 4, Corbin, KY 40701 |
| Donald P Brock | Chiropractic | 1015 Master St, Corbin, KY 40701-1065 | |
| Kathy S Campbell | Nurse Practitioner | Corbin Rural Health Center Pllc | 1013 Master St, Corbin, KY 40701-1065 |
| Maria C Atienza | Internal Medicine | Maria Cristina Atienza Psc | 110 Roy Kidd Ave, Corbin, KY 40701-1302 |
| Ingrid Minor | Physician Assistant | Maria Cristina Atienza Psc | 110 Roy Kidd Ave, Corbin, KY 40701-1302 |
| Kari Honeycutt | Nurse Practitioner | Maria Cristina Atienza Psc | 110 Roy Kidd Ave, Corbin, KY 40701-1302 |
| Find all physicians in zip 40701 | |||
| City | CORBIN |
| Zip Code | 40701 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CORBIN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jimmy 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.