Christopher M Hicks (NPI# 1598736142, PAC ID# 9739101387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1598736142 |
| PAC ID by PECOS | 9739101387 |
| Professional Enrollment ID | I20051222000514 |
| Full Name | Christopher M Hicks |
| Organization Legal Name | MONTGOMERY SURGERY ASSOCIATES LLC |
| Address |
801 Davis St Blacksburg VA 24060-7022 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6204871312 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| Address | Phone | Organization |
|---|---|---|
| 801 Davis St, Blacksburg, VA 24060-7022 | MONTGOMERY SURGERY ASSOCIATES LLC | |
| 820 Hospital Dr, Blacksburg, VA 24060-7023 | 5405520005 | MONTGOMERY SURGERY ASSOCIATES LLC |
| 840 Hospital Dr, Blacksburg, VA 24060-7023 | 5405221353 | MONTGOMERY SURGERY ASSOCIATES LLC |
| Organization Legal Name | MONTGOMERY SURGERY ASSOCIATES LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Sinclair | Gastroenterology | Montgomery Surgery Associates LLC | 817 Davis St, Blacksburg, VA 24060-7004 |
| Jolene B Henshaw | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| Jason Fowlkes | General Surgery | Montgomery Surgery Associates LLC | 801 Davis St, Suite 1, Blacksburg, VA 24060-7022 |
| David Stoeckle | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| Kelly H Finnegan | Physician Assistant | Montgomery Surgery Associates LLC | 817 Davis St, Blacksburg, VA 24060-7004 |
| Shyama D Wickramaaratchi | Cardiovascular Disease (cardiology) | Montgomery Surgery Associates LLC | 830 Davis St, Blacksburg, VA 24060-7010 |
| Street Address |
801 DAVIS ST |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Fultz | Nurse Practitioner | Lewis Gale Physicians LLC | 801 Davis St, Blacksburg, VA 24060-7008 |
| Jason Fowlkes | General Surgery | Montgomery Surgery Associates LLC | 801 Davis St, Suite 1, Blacksburg, VA 24060-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Kristopher Joel Hansen | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | UROLOGY |
| City + Specialty | BLACKSBURG + UROLOGY |
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| 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.