BRYAN HICKS MD PA (NPI# 1396843942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396843942 |
| Entity Type | Organization |
| Organization Name | BRYAN HICKS MD PA |
| Other Organization Name | MARION DERMATOLOGY |
| Practice Address |
5349 Sw College Rd Ste 2 Ocala FL 34474-5717 |
| Practice Telephone | 3523685858 |
| Practice Fax Number | 3523682044 |
| Mailing Telephone | 3523685858 |
| Mailing Fax Number | 3523682044 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DR. BRYAN CRAIG HICKS (PRESIDENT) |
| Authorized Official Telephone | 3523685858 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME47583 | FL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
ME47583 | FL | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
ME47583 | FL | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME47583 | FL | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | ME47583 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Marion Dermatology | Doing Business As Name - Organization |
| Street Address |
5349 SW COLLEGE RD STE 2 |
| City | OCALA |
| State | FL |
| Zip Code | 34474-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821086752 | Bryan C Hicks | Dermatology | 5349 Sw College Rd, Suite 2, Ocala, FL 34474-5717 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125167 | Hailey Roberts | Behavior Technician | 2202 Sw 20th Pl #302, Ocala, FL 34474 | 2019-07-03 |
| 1912560632 | La-sheria R Mcleod | Licensed Practical Nurse | 3240 Sw 34th St Apt 908, Ocala, FL 34474 | 2019-04-18 |
| 1043700792 | Clinical Positron Emission Tomography LLC | Clinic/Center | 3233 Sw 33rd Rd Ste 301, Ocala, FL 34474 | 2018-05-17 |
| 1861981896 | The Orthopaedic Institute, Pa | Emergency Medicine | 4600 Sw 46th Ct Ste 220, Ocala, FL 34474 | 2018-05-04 |
| 1790273738 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 3221 Sw 33rd Road, Suite 100, Ocala, FL 34474 | 2018-04-25 |
| 1841703337 | Stephanie E Nunes | Nurse Practitioner | 3131 Sw College Rd Ste 405, Ocala, FL 34474 | 2017-11-07 |
| 1316457013 | Holli Dobson Molina | Nurse Practitioner | 5200 Sw 31st St, Ocala, FL 34474 | 2017-10-07 |
| 1063964690 | Mary Aguilar | Specialist/Technologist, Other | 4900 Sw 46th Ct Apto 1406, Ocala, FL 34474 | 2016-10-31 |
| 1649725326 | Colby Beck | Physician Assistant | 3210 Sw 33rd Rd Ste 101, Ocala, FL 34474 | 2016-08-23 |
| 1881053031 | Jeanette M Hall | Pharmacist | 3130 Sw 32nd Ave., Ocala, FL 34474 | 2016-02-16 |
| Find all providers in zip 34474 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699200717 | Daniel Jay Cohn | Dermatology | 8250 Nw 136th Ave Rd., Ocala, FL 34482 | 2017-04-26 |
| 1093008831 | Sandra Lynn Price Md Inc | Dermatology | 628 Se 17th St, Ocala, FL 34471-4429 | 2011-05-26 |
| 1265661680 | Jessin Helmrick-blossom | Dermatology | 7550 Sw 61st Ave Ste 1, Ocala, FL 34476 | 2009-07-07 |
| 1851597009 | Amy Marie Loyd | Dermatology | 1918 Se 17th St Ste 300, Ocala, FL 34471-4120 | 2007-06-25 |
| 1295791754 | Kenneth A Wallace IIi | Dermatology | 1091 Se 59th St, Ocala, FL 34480-6146 | 2006-04-25 |
| 1952367716 | James Towry | Dermatology | 1918 Se 17th St, #300, Ocala, FL 34471-4120 | 2006-04-21 |
| 1972565364 | Sandra Lynn Price | Dermatology | 638 Se 17th St, Ocala, FL 34471-4429 | 2006-04-03 |
| 1427020619 | Steven Powell, Md, Pa | Dermatology | 2910 Se 3rd Ct, Suite A, Ocala, FL 34471-0485 | 2006-02-02 |
| 1952383580 | Robert Gilbert Corwin | Dermatology | 3210 Sw 33 Road, Suite 101, Ocala, FL 34474-7455 | 2005-11-18 |
| 1821086752 | Bryan C Hicks | Dermatology | 5349 Sw College Rd, Suite 2, Ocala, FL 34474-5717 | 2005-10-13 |
| Find all providers in OCALA | ||||
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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.