CORY L HICKS (NPI# 1265586119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265586119 |
| Entity Type | Individual |
| Full Name | CORY L HICKS |
| Credential | DC |
| Practice Address |
1529 W Rogers Blvd Suite C Lakeside Chiropractic Clinic Skiatook OK 74070 |
| Practice Telephone | 9183964433 |
| Practice Fax Number | 9183960075 |
| Mailing Telephone | 9183964433 |
| Mailing Fax Number | 9183960075 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3750 | OK | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588863450 | Cory Joseph Hicks | Internal Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 | 2007-07-12 |
| Street Address |
1529 W ROGERS BLVD SUITE C LAKESIDE CHIROPRACTIC CLINIC |
| City | SKIATOOK |
| State | OK |
| Zip Code | 74070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013185453 | Christina Marie Graddy | Chiropractor | 1529 W Rogers Blvd, Skiatook, OK 74070-1085 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031819 | Michelle Gaviola | Nurse Practitioner | 14867 Stoney Ridge Ln, Skiatook, OK 74070 | 2020-10-23 |
| 1356823751 | 24 Our Care LLC | Case Management | 15594 Overlook Dr, Skiatook, OK 74070 | 2018-08-31 |
| 1558884643 | Peyton Leigh Patrick | Specialist/Technologist, Other | 11553 West 176th St North, Skiatook, OK 74070 | 2017-07-20 |
| 1578950952 | Jake Landreth, Dc, Inc | Chiropractor | 108 N. Broadway, Skiatook, OK 74070 | 2015-04-23 |
| 1154718807 | Timothy Bushyhead | Family Medicine | 1501 W Rogers Blvd, Skiatook, OK 74070 | 2015-04-21 |
| 1508280413 | Tiffany Sybille Turner | Speech-Language Pathologist | 3920 E 142nd Pl N, Skiatook, OK 74070 | 2014-02-12 |
| 1073831178 | Deborah Kay Pattillo | Marriage & Family Therapist | 5801 West 168 Street North, Skiatook, OK 74070 | 2010-05-13 |
| 1386972131 | Cie Chloee Pshigoda | Physician Assistant | 8409 Summit Ave, Skiatook, OK 74070 | 2009-12-04 |
| 1356525943 | Pedro M Soto | Denturist | 4996 1/2 W Rogers Blvd, Skiatook, OK 74070 | 2007-12-19 |
| 1548750839 | Underamask Pllc | Physician Assistant | 8409 Summit Ave, Skiatook, OK 74070 | 2018-05-13 |
| Find all providers in zip 74070 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578950952 | Jake Landreth, Dc, Inc | Chiropractor | 108 N. Broadway, Skiatook, OK 74070 | 2015-04-23 |
| 1679800478 | Elizabeth Ann Goodman | Chiropractor | 1529 W Rogers Blvd Ste C, Ste C, Skiatook, OK 74070-1086 | 2009-11-16 |
| 1962562223 | Nancy-jo Barkley | Chiropractor | 208 Bulldog Blvd, Skiatook, OK 74070-1073 | 2006-12-09 |
| 1114006657 | Robert Lee Johnson | Chiropractor | 203 S Hominy Ave, Skiatook, OK 74070-3975 | 2006-11-03 |
| 1578945390 | Lakeside Chiropractic, Pllc | Chiropractor | 1529 W Rogers Blvd Ste C, Skiatook, OK 74070-1086 | 2015-06-29 |
| 1013185453 | Christina Marie Graddy | Chiropractor | 1529 W Rogers Blvd, Skiatook, OK 74070-1085 | 2008-02-19 |
| 1427238864 | Declue Medical, LLC | Chiropractor | 208 Bulldog Blvd, Skiatook, OK 74070-1073 | 2007-11-13 |
| 1881887214 | Skiatook Medical LLC | Chiropractor | 203 S Hominy Ave, Skiatook, OK 74070-3975 | 2007-08-20 |
| 1881817047 | Thomas E Declue | Chiropractor | 208 Bulldog Blvd, Skiatook, OK 74070-1073 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328536 | Christian Minard | Chiropractor | 12110 Ashford Dr Ste 200, Yukon, OK 73099-8759 | 2020-08-25 |
| 1598377178 | Hannah Schwartzer | Chiropractor | 2601 N Aspen Ave Ste 1023, Broken Arrow, OK 74012-1378 | 2020-08-17 |
| 1316556822 | Edmond Chiropractic Rehabilitation Pllc | Chiropractor | 3201 E Memorial Rd Ste C, Edmond, OK 73013-7093 | 2020-07-30 |
| 1083222715 | Chirothere, LLC | Chiropractor | 4416 N Western Ave Ste 205b, Oklahoma City, OK 73118-5256 | 2020-07-20 |
| 1679181648 | Sierra Quinn | Chiropractor | 177145 Highway 277, Geronimo, OK 73543-5211 | 2020-07-16 |
| 1154948073 | Thrive Chiropractic Group 3 LLC | Chiropractor | 1201 Nw 178th St Ste 119, Edmond, OK 73012-4280 | 2020-06-26 |
| 1306465307 | Brennan Chiropractic Clinic Corporation | Chiropractor | 2140 S Harvard Ave Ste 111, Tulsa, OK 74114-1957 | 2020-04-10 |
| 1790315547 | Kyle Brent Babcock | Chiropractor | 4900 Richmond Sq Ste 108, Oklahoma City, OK 73118-2043 | 2020-01-21 |
| 1083244180 | Adrian Barker | Chiropractor | 4721 W 6th Ave Ste 120, Stillwater, OK 74074-1549 | 2020-01-17 |
| 1518506310 | Daniel S Holt | Chiropractor | 13838 Quail Pointe Dr Ste A, Oklahoma City, OK 73134-1003 | 2019-12-27 |
| Find all providers with the same taxonomy | ||||
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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.