PHILLIP HICKS (NPI# 1063563864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063563864 |
| Entity Type | Individual |
| Full Name | PHILLIP HICKS |
| Practice Address |
1600 N 2nd St Clinton MO 64735-1192 |
| Mailing Address |
2003 Epicurean Dr Clinton MO 64735-1887 |
| Practice Telephone | 6608907103 |
| Mailing Telephone | 6608907103 |
| Mailing Fax Number | 6608858496 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 122530 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 915043905 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366465643 | Phillip Hicks | Emergency Medicine | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2006-07-26 |
| Street Address |
1600 N 2ND ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801747 | Karl J. Haake | Anesthesiology | 1600 N 2nd St, Clinton, MO 64735-1192 | 2005-09-19 |
| 1770110520 | Aaron Andrew Tjomsland | Physician Assistant | 1600 N 2nd St, Clinton, MO 64735-1192 | 2020-03-23 |
| 1023663770 | Nicole Rebecca Romine | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1192 | 2019-08-08 |
| 1083172415 | Daniel E Roberson | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1297 | 2019-03-05 |
| 1093284549 | Town Square Emergency Associates Pllc | Emergency Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-11-14 |
| 1235610395 | Anisa Ranay Burdick | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1297 | 2018-08-27 |
| 1215414255 | Daniel F. Campbell | Nurse Anesthetist, Certified Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-07-23 |
| 1992294458 | Aimee Oerke | Dietitian, Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-05-09 |
| 1285174268 | Mary Darling | Social Worker | 1600 N 2nd St, Clinton, MO 64735-1192 | 2017-02-24 |
| 1891242715 | Michelle Shoemaker | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1192 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326143330 | Renny Griffith | Anesthesiology | 9001 Woodyard Rd Ste B, Clinton, MD 20735-4264 | 2006-09-14 |
| 1326064619 | Eskander G Morkos | Anesthesiology | 518 Beaman St, Clinton, NC 28328-2602 | 2006-07-14 |
| 1992737027 | Clinton Anesthesia Associates, Pa | Anesthesiology | 410 Inverness Rd, Clinton, NC 28328-3072 | 2006-07-07 |
| 1336125004 | Mark J Leding | Anesthesiology | 1410 N. Street, Clinton, IA 52732 | 2005-12-15 |
| 1821417767 | Eric Ness | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2014-04-08 |
| 1124469143 | Greenville Health System | Anesthesiology | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2013-07-08 |
| 1184977142 | Medstar Southern Maryland Physicians, LLC | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-10-16 |
| 1992057483 | Medstar Southern Maryland Physicians, LLC | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-10-08 |
| 1215223615 | Nathan James Laborde | Anesthesiology | 607 Beaman St, Clinton, NC 28328-2603 | 2011-06-23 |
| 1912224700 | Anquenetta Latosha Douglas | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2010-05-03 |
| Find all providers in CLINTON | ||||
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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.