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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
G4132 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 142236201 | 05 |
| 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 |
| Street Address |
1325 PENNSYLVANIA AVE SUITE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2158 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| 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/. |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on DR. MICHAEL S HICKEY.
| 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.