SUSAN K HICKS (NPI# 1043201551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043201551 |
| Entity Type | Individual |
| Full Name | SUSAN K HICKS |
| Credential | D.O. |
| Practice Address |
2221 Health Dr Sw Ste 2100 Wyoming MI 49519 |
| Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-2560 |
| Practice Telephone | 6162524410 |
| Practice Fax Number | 6162524480 |
| Mailing Telephone | 6162523243 |
| Mailing Fax Number | 6162520260 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | SH012674 | MI | Other Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | 5101012674 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 Michigan St Ne, Suite 600, Grand Rapids, MI 495032543 | 6167747035 | 6167744057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049029 | Susan Jane Hicks | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-06-26 |
| 1326541988 | Susan Renee Hicks | Registered Nurse | 1520 4th St, Lewisport, KY 42351 | 2018-03-09 |
| 1477938660 | Susan T. Hicks | Nurse Practitioner | 675 Middle Creek Rd, Sevierville, TN 37862-5014 | 2015-07-29 |
| 1811323397 | Susan Louise Hicks | Behavioral Analyst | 4434 Corey Road, Central Point, OR 97502 | 2013-09-17 |
| 1932361896 | Susan Vanderwerf Hicks | Pharmacist | 400 Audubon Dr, Miramar Beach, FL 32550-4594 | 2008-07-01 |
| 1982883211 | Susan Ann Hicks | Social Worker | 16 Leon Sullivan Way, Suite 300, Charleston, WV 25301-2402 | 2007-11-02 |
| 1679763296 | Susan Elizabeth Hicks | Occupational Therapist | 1180 Waianuenue Ave, Hawaii State Veterans Hospital, Hilo, HI 96720 | 2007-07-30 |
| 1699899856 | Susan H. Hicks | Marriage & Family Therapist | 351 E Main St, Ste 100h, Grass Valley, CA 95945-6509 | 2007-03-16 |
| 1497762611 | Susan M Hicks | Social Worker | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2006-08-01 |
| 1760457402 | Susan Jill Hicks | Counselor | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2006-02-17 |
| Street Address |
2221 HEALTH DR SW STE 2100 |
| City | WYOMING |
| State | MI |
| Zip Code | 49519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982694667 | Renee J Elderkin | Specialist | 2221 Health Dr Sw Ste 2100, Wyoming, MI 49519-9650 | 2005-10-25 |
| 1295393254 | Julie Anne Perski | Nurse Practitioner | 2221 Health Dr Sw Ste 2100, Wyoming, MI 49519-9650 | 2019-06-04 |
| 1154770550 | Elizabeth Anna Marie Pierce | Registered Nurse | 2221 Health Dr Sw Ste 2100, Wyoming, MI 49519-9650 | 2016-06-07 |
| 1649491135 | Brad Alan Irving | Obstetrics & Gynecology | 2221 Health Dr Sw Ste 2100, Wyoming, MI 49519-9650 | 2007-05-01 |
| 1972577583 | Holly J Shank | Physician Assistant | 2221 Health Dr Sw Ste 2100, Wyoming, MI 49519-9650 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1043219561 | Jeffrey D. Postlewaite | Obstetrics & Gynecology | 781 36th St Se, Wyoming, MI 49548-2319 | 2005-07-18 |
| 1053806794 | Candice M Buckles | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2018-06-26 |
| 1790270437 | Sarah L Edgerton | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-06-26 |
| 1609361344 | Maia Elise Sullivan | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2018-06-26 |
| 1366962664 | Lorene Dreisbach | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519 | 2017-06-27 |
| 1053831818 | Matthew Brian Shelnutt | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1558881300 | Charissa D Meredith | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1275984064 | Lauren K Lucas | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2016-06-23 |
| 1366892937 | Kaitlin Barabash | Obstetrics & Gynecology | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2016-06-15 |
| Find all providers in WYOMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.