DR. DAVID L. HICKS (NPI# 1093904815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093904815 |
| Entity Type | Individual |
| Full Name | DR. DAVID L. HICKS |
| Credential | D.O. |
| Practice Address |
3165 N Mcmullen Booth Rd Suite H Clearwater FL 33761-2032 |
| Practice Telephone | 7277873911 |
| Practice Fax Number | 7277862272 |
| Mailing Telephone | 7277873911 |
| Mailing Fax Number | 7277862272 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2013-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS4796 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700188984 | David Alan Hicks | Pharmacist | 613 Sixth, Sunnyside, WA 98944 | 2010-11-22 |
| 1881851590 | David D Hicks | Social Worker | 11 E State St, Marshalltown, IA 50158-4938 | 2008-05-20 |
| 1053513275 | David Hicks | Counselor | 1251 Jentes Rd, Wooster, OH 44691-7753 | 2007-06-01 |
| 1598818627 | David T Hicks | Optometrist | 313 N Division St, Harvard, IL 60033-3060 | 2007-01-20 |
| 1720070816 | David L Hicks | Family Medicine | 1000 S Rodney Parham Rd, Little Rock, AR 72204-2476 | 2005-08-16 |
| 1205354420 | David Timothy Hicks | Counselor | 207 Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2017-09-08 |
| 1235671512 | David Hicks Jr. | Student in an Organized Health Care Education/Training Program | 133 N River St, Wilkes Barre, PA 18711-0800 | 2016-11-17 |
| 1134674948 | David Alexander Hicks | Marriage & Family Therapist | 255 E Watt St, Alcoa, TN 37701-2236 | 2016-08-22 |
| 1467824383 | David Hicks | Dentist | 5918 Jonesboro Rd, Morrow, GA 30260-1103 | 2015-10-30 |
| 1538474317 | David Lawrence Hicks | Anesthesiology | 1850 Bluegrass Ave, Anesthesia Department, Louisville, KY 40215-1161 | 2010-08-17 |
| Street Address |
3165 N MCMULLEN BOOTH RD SUITE H |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631416 | Quantum Genesis Inc. | Family Medicine | 3165 N Mcmullen Booth Rd, Suite H, Clearwater, FL 33761-2032 | 2005-07-01 |
| 1235672312 | Jennifer Kay | Physician Assistant | 3165 N Mcmullen Booth Rd, Ste H, Clearwater, FL 33761-2032 | 2016-11-22 |
| 1215304613 | Synergistiq Integrative Health P A | Clinic/Center | 3165 N Mcmullen Booth Rd, Suite D-2, Clearwater, FL 33761-2032 | 2015-09-01 |
| 1124440912 | Diagnostic Clinic Medical Group Inc | Internal Medicine | 3165 N Mcmullen Booth Rd, Building B, Clearwater, FL 33761-2032 | 2014-01-13 |
| 1194034348 | Grasso Anesthesia Services and Staffing Inc. | Nurse Anesthetist, Certified Registered | 3165 N Mcmullen Booth Rd, Building B, Clearwater, FL 33761-2032 | 2010-10-05 |
| 1750554648 | Tracy A Riordan | Physical Therapist | 3165 N Mcmullen Booth Rd, Clearwater, FL 33761-2032 | 2008-04-11 |
| 1265601595 | Center for Family Health Wellness and Prevention P A | Family Medicine | 3165 N Mcmullen Booth Rd, Suite C1, Clearwater, FL 33761-2032 | 2008-02-20 |
| 1255483798 | Eduardo R Lazaro | Dentist | 3165 N Mcmullen Booth Rd, Clearwater, FL 33761-2032 | 2007-01-17 |
| 1215088372 | Carlos Manuel Garcia | Internal Medicine | 3165 N Mcmullen Booth Rd, Building B, Clearwater, FL 33761-2032 | 2007-01-16 |
| 1114088028 | Michael L Oneal | Legal Medicine | 3165 N Mcmullen Booth Rd, C1, Clearwater, FL 33761-2032 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902354517 | Lance Lieberman | Family Medicine | 25941 Us 19 N, Suite/po 15212, Clearwater, FL 33763-2013 | 2016-09-13 |
| 1295186351 | Kah Development 7, L.L.C. | Family Medicine | 380 Park Place Blvd Ste 230, Clearwater, FL 33759-4930 | 2016-06-29 |
| 1104289115 | Brian Patrick Mcdaniel | Family Medicine | 400 Pinellas St Ste 350, Clearwater, FL 33756-3319 | 2016-03-29 |
| 1225441215 | Michael Gannon | Family Medicine | 2531 Landmark Dr Ste 103, Clearwater, FL 33761-3928 | 2014-06-06 |
| 1467873315 | Community Health Center of Pinellas Inc | Family Medicine | 5523 Roosevelt Blvd, Clearwater, FL 33760-3425 | 2013-12-19 |
| 1588005185 | Nadia Nirmalene Gomes | Family Medicine | 1007 Jeffords St Ste 101, Clearwater, FL 33756-4082 | 2013-07-11 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| 1427323351 | Nancy L Robbin, M.d. Pa | Family Medicine | 2555 Enterprise Rd Ste 9-3, Clearwater, FL 33763-1150 | 2012-03-10 |
| 1679845374 | Inpatient Consultants of Florida, Inc | Family Medicine | 1700 N Mcmullen Booth Rd Ste D1, Clearwater, FL 33759-2129 | 2012-01-27 |
| 1760791859 | Bayside Family Healthcare Clearwater, LLC | Family Medicine | 107 N Mcmullen Booth Rd, Clearwater, FL 33759-4450 | 2010-10-06 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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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.