DR. DERRICK GERARD HICKEY (NPI# 1356376289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356376289 |
| Entity Type | Individual |
| Full Name | DR. DERRICK GERARD HICKEY |
| Credential | MD |
| Practice Address |
5305 Wrightsville Ave Ste H Wilmington NC 28403-6507 |
| Practice Telephone | (910) 791-4492 |
| Practice Fax Number | 8442922339 |
| Mailing Telephone | 9107914492 |
| Mailing Fax Number | 9107914355 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 200201100 | NC | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
200201100 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDCOST | 189631 | 01 | |
| MEDICARE RAILROAD | P00341370 | 01 | |
| NC | BCBS | 134C0 | 01 |
| CIGNA | 1132227 | 01 | |
| UNITED HEALTH CARE | 2321012 | 01 | |
| AETNA | 7107507 | 01 | |
| NC | 89134C0 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5302 Oleander Dr, Wilmington, NC 284035810 | 9107914492 | 8442922339 |
| Street Address |
5305 WRIGHTSVILLE AVE STE H |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063926152 | Emergeortho, P.a. | Orthopaedic Surgery | 7419 Market St Ste C, Wilmington, NC 28411-9454 | 2017-11-28 |
| 1821524182 | First State Orthopaedics, Pa | Orthopaedic Surgery | 5317 Limestone Rd Bldg Suite104, Wilmington, DE 19808-1252 | 2017-05-05 |
| 1073069043 | Regional Orthopaedic Associates Pa | Orthopaedic Surgery | 3401 Brandywine Pkwy Ste 100, Wilmington, DE 19803-1554 | 2016-08-30 |
| 1720211220 | Concord Health and Rehabilitation | Orthopaedic Surgery | 1010 Concord Ave Ste 101, Wilmington, DE 19802-3366 | 2009-08-31 |
| 1427197458 | Fabio Figueiredo | Orthopaedic Surgery | 2501 Silverside Rd Ste 1, Wilmington, DE 19810-3726 | 2007-02-06 |
| 1659424679 | Robert M. Moore | Orthopaedic Surgery | 1508 Medical Center Dr, Wilmington, NC 28401-7507 | 2007-01-21 |
| 1548330228 | First State Orthopaedics Pa | Orthopaedic Surgery | 1401 Foulk Rd Ste 101, Wilmington, DE 19803-2764 | 2006-11-09 |
| 1255420493 | Craig D Morgan | Orthopaedic Surgery | 2501 Silverside Road, Wilmington, DE 19810 | 2006-10-12 |
| 1255353298 | Port City Orthopaedics Pllc | Orthopaedic Surgery | 5302 Oleander Dr, Wilmington, NC 28403-5810 | 2006-07-25 |
| 1285694935 | Mark S Eskander | Orthopaedic Surgery | 1941 Limestone Road, Ste 101, Wilmington, DE 19808-5413 | 2006-03-26 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.