DR. MICHAEL S HICKEY


Address: 1325 Pennsylvania Ave, Suite 200, Fort Worth, TX 76104-2158
Phone: 8173329957

DR. MICHAEL S HICKEY (NPI# 1285686055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285686055
Entity Type Individual
Full Name DR. MICHAEL S HICKEY
Credential M.D.
Practice Address 1325 Pennsylvania Ave
Suite 200
Fort Worth
TX 76104-2158
Practice Telephone 8173329957
Practice Fax Number 8173363130
Mailing Telephone 8173329957
Mailing Fax Number 8173363130
Enumeration Date 2006-05-17
Last Update Date 2014-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
G4132 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 142236201 05

Other Providers MICHAEL HICKEY

NPI Name Taxonomy Address Enumeration
1598171936 Michael Hickey Counselor 52 Peters Way, North Attleboro, MA 02760-4655 2014-07-07
1871640185 Michael Hickey Anesthesiologist Assistant 2771 Ashleigh Ln, Alpharetta, GA 30004-6169 2007-01-05
1861576142 Michael Thomas Hickey Podiatrist 14400 Bear Valley Rd, Victorville, CA 92392-5470 2006-10-24
1053882605 Michael Vincent Hickey Behavioral Analyst 9260 Marketplace Dr, Miamisburg, OH 45342-4478 2018-12-07
1639612138 Michael Hickey Psychologist 145 E 32nd St, 9th Floor, New York, NY 10016-6055 2016-12-01
1952715039 Michael Hickey Specialist/Technologist 1000 S State St, Ann Arbor, MI 48109-2201 2014-06-17
1417106329 Michael Hickey Physical Therapist 16 Sycamore Dr, Medford, NJ 08055-8715 2008-09-16
1356510226 Michael Joseph Hickey Pharmacist 1851 Bruckner Blvd, Bronx, NY 10472-6502 2008-02-26
1295874998 Michael J Hickey Obstetrics & Gynecology 121 N Elm Street, Hinsdale, IL 60521 2007-02-06
1932218039 Michael Hickey Internal Medicine 200 Crescent Centre Park, Internal Medicine Health Care Team A, Tucker, GA 30084 2006-08-30

Office Location

Street Address 1325 PENNSYLVANIA AVE
SUITE 200
City FORT WORTH
State TX
Zip Code 76104-2158

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194718452 Mohammad Reza Siadati Surgery 1325 Pennsylvania Ave, 200, Fort Worth, TX 76104-2158 2005-08-23
1306315254 Selina Ann Leewright Nurse Practitioner 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 2018-11-21
1972046274 Tonyka A James Dpm Pllc Podiatrist 1325 Pennsylvania Ave, Suite 250, Fort Worth, TX 76104-2158 2016-11-18
1578927661 Stella-maris Ogwu Pediatrics 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 2016-04-05
1316312523 Jennifer Barnett Pharmacist 1325 Pennsylvania Ave, Ste #60, Fort Worth, TX 76104-2158 2015-12-14
1164843306 Noushin A Firouzbakht Md Pa Obstetrics & Gynecology 1325 Pennsylvania Ave, Suite 350, Fort Worth, TX 76104-2158 2013-12-13
1346585718 Trinity Iom, Pa Specialist/Technologist, Other 1325 Pennsylvania Ave, Ste 890, Fort Worth, TX 76104-2158 2012-12-11
1467751404 James A Scott Md Pa Physical Medicine & Rehabilitation 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 2011-03-16
1073819595 Emnet Sisay Internal Medicine 1325 Pennsylvania Ave, Ste. 325, Fort Worth, TX 76104-2158 2011-01-31
1770819336 Cindi E Tolliver Pharmacist 1325 Pennsylvania Ave, Suite #60, Fort Worth, TX 76104-2158 2009-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619928223 Tracc, Pa Surgery 757 8th Ave Ste 1, Fort Worth, TX 76104-2522 2006-05-16
1689063232 Banjo Acute General Surgery Pllc Surgery 3101 N Tarrant Pkwy, Fort Worth, TX 76177-8601 2015-01-21
1093767865 David C Smith Surgery 757 8th Ave Ste 1, Fort Worth, TX 76104-2522 2006-05-17
1528010394 John B Smithson Surgery 1325 Pennsylvania Ave, Suite 200, Fort Worth, TX 76104-2158 2006-05-17
1437101201 Robert W Sloane Jr. Surgery 1325 Pennsylvania Ave, Suite 200, Fort Worth, TX 76104-2158 2006-05-17
1720044860 Stephen Rush Surgery 1325 Pennsylvania Ave, Suite 200, Fort Worth, TX 76104-2158 2006-04-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174034623 Stat Trauma & Surgical Services, Pllc Surgery 6 Garden Ln, Arlington, TX 76016 2017-10-23
1487164604 Urgent Specialty Associates Pllc Surgery 4100 Spring Valley Rd Ste 250, Farmers Branch, TX 75244-3645 2017-10-02
1578969788 Advanced Fracture Care Solutions Pllc Surgery 2145 Sutton Pl, Plano, TX 75093-4323 2014-11-16
1952737371 Ernest A Gonzalez Md Pa Surgery 12319 N Mopac Expy Ste 350, Austin, TX 78758-2512 2013-09-17
1831393735 Alexander Laurance Eastman Surgery 5323 Harry Hines Blvd # Mc9158, Department of Surgery--btcc, Dallas, TX 75390-9158 2007-06-13
1669592242 Surgical Consultants Pa Surgery 6210 Wooldridge Rd Ste A, Corpus Christi, TX 78414-2528 2007-03-29
1144240508 Ted R. Smith Surgery 50 Hillcrest Medical Blvd Ste 105, Waco, TX 76712-8953 2006-07-20
1750310520 Matthew A Lovitt Surgery 2710 Swiss Avenue, Dallas, TX 75204-5900 2006-07-02
1730115270 Jimie Dianne Owsley Surgery 810 Morgan Ave Apt 1, Corpus Christi, TX 78404-2058 2006-06-25
1578500815 Advanced Laparoendoscopic Surgery, Pllc Surgery 3005 West Loop S, Suite 225, Houston, TX 77027-6100 2006-06-02
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Competitor

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City FORT WORTH
Zip Code 76104

Improve Information

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Dataset Information

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.

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