BENJAMIN L HICKS (NPI# 1184961963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184961963 |
| Entity Type | Individual |
| Full Name | BENJAMIN L HICKS |
| Credential | PAA |
| Practice Address |
417 W 3rd Ave Albany GA 31701-1943 |
| Practice Telephone | 2294399400 |
| Practice Fax Number | 2294363718 |
| Mailing Telephone | 2294399400 |
| Mailing Fax Number | 2294363718 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 006693 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396971727 | Benjamin Ferrill Hicks Jr. | Family Medicine | 1330 Crest Road, Del Mar, CA 92014-2529 | 2009-05-29 |
| 1891988481 | Benjamin Hicks | Internal Medicine | 4502 East 41st St, Tulsa, OK 74125-2512 | 2007-08-27 |
| 1740899335 | Benjamin David Hicks | Dentist | 6000 Us-98, Pensacola, FL 32512-0001 | 2020-07-29 |
| 1982149845 | Benjamin T Hicks | Physician Assistant | 715 N Weber St, Colorado Springs, CO 80903-1091 | 2017-01-03 |
| 1114315140 | Benjamin Hicks | Specialist/Technologist | 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 | 2014-12-29 |
| 1124353099 | Benjamin J Hicks | Family Medicine | 827 S Jackson St, Osceola, IA 50213-1666 | 2009-10-12 |
| 1780687707 | Benjamin Matthew Hicks | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-05-23 |
| Street Address |
417 W 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232503 | Teresa Joy Bohlmeyer | Pathology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2005-06-01 |
| 1861005084 | Brittany Campbell | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-27 |
| 1528679735 | Ta-tanisha Parks | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-11 |
| 1013543859 | Amber Nicole Brodbeck | Registered Nurse | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-03-12 |
| 1225676273 | Jasmine Andrews | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-12-19 |
| 1194375543 | Madison Elizabeth Miller | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-09-18 |
| 1548816457 | Taylor Leigh Holmes | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-08-15 |
| 1689228850 | Christopher Moody | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-26 |
| 1922651223 | Evans Ngwa Mabo | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-17 |
| 1144789082 | Joyce Anderson | Home Health | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375543 | Madison Elizabeth Miller | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-09-18 |
| 1568825859 | Cuong T Le | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2016-04-04 |
| 1891170395 | Robert Colby Johnson | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2015-07-25 |
| 1790189140 | Vu Tho Hoang | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2014-10-14 |
| 1417387085 | Jason Michael Allen | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-11-19 |
| 1578999173 | John Paul Le | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-09-16 |
| 1669720843 | Rayon Dosethareh | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2012-08-21 |
| 1053691386 | Leigh E Wenslow | Anesthesiologist Assistant | 500 W 3rd Ave, Ste 101, Albany, GA 31701-1985 | 2011-08-18 |
| 1093025991 | Christinia M Baker | Anesthesiologist Assistant | 500 W 3rd Ave, Albany, GA 31701-1985 | 2010-10-14 |
| 1164732939 | Catherine H Saunders | Anesthesiologist Assistant | 500 W 3rd Ave, Albany, GA 31701-1985 | 2010-10-14 |
| Find all providers in ALBANY | ||||
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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.