ANN E. HICKEY (NPI# 1417909615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417909615 |
| Entity Type | Individual |
| Full Name | ANN E. HICKEY |
| Credential | M.D. |
| Practice Address |
560 South Elberta Road Exeter CA 93221 |
| Mailing Address |
Po Box 1027 560 South Elberta Road Exeter CA 93221 |
| Practice Telephone | 5593348527 |
| Mailing Telephone | 5593348527 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | G46361 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G46361 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | G46361 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G463610 | 05 |
| Street Address |
560 SOUTH ELBERTA ROAD |
| City | EXETER |
| State | CA |
| Zip Code | 93221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255766069 | Annita Ruth Regehr | Counselor | 125 S. 'f' St., Exeter, CA 93221 | 2013-09-11 |
| 1760609168 | Martina Gutierrez | Student in an Organized Health Care Education/Training Program | 514-516 N. Kaweah, Exeter, CA 93221 | 2007-04-19 |
| 1063638823 | Darren L Rich | Dentist | 140 S B St, Exeter, CA 93221 | 2007-04-18 |
| 1033127014 | Exeter District Ambulance | Ambulance | 302 East Palm Street, Exeter, CA 93221 | 2006-08-04 |
| 1942221171 | R Douglas Owen Do Inc | Family Medicine | 244 N Kaweah Ave, Exeter, CA 93221 | 2006-07-22 |
| 1629029194 | Talaksoon Khademi | Obstetrics & Gynecology | 1014 San Juan Ave., Exeter, CA 93221 | 2006-05-12 |
| 1518402858 | Teresa De Jesus Cruz | Counselor | 516 N Kaweah Ave, Exeter, CA 93221 | 2016-12-22 |
| 1871726133 | Vance Physical Therapy and Wellness Inc | Clinic/Center | 511 W Visalia Rd, Exeter, CA 93221 | 2009-09-02 |
| 1912039959 | Ramiro Mena Raya Jr. | Counselor | 516 N Kaweah Ave, Exeter, CA 93221 | 2007-03-12 |
| 1427190362 | Rosie Rodarte-franco | Marriage & Family Therapist | 216 E Pine St, Exeter, CA 93221 | 2007-02-13 |
| Find all providers in zip 93221 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720220577 | Russell R Fiore | Internal Medicine | 36 Meadowood Dr, Exeter, NH 03833-4738 | 2009-03-25 |
| 1194909978 | Jessica Arlene Sutherland | Internal Medicine | 3 Alumni Dr Ste 101, Exeter, NH 03833-2122 | 2007-12-28 |
| 1316145642 | Brian Story Porter | Internal Medicine | 3 Alumni Dr Ste 101, Exeter, NH 03833-2122 | 2007-07-09 |
| 1417008806 | Daniel A Lombardi | Internal Medicine | 5 Alumni Dr, 3rd Floor, Exeter, NH 03833-2128 | 2007-01-15 |
| 1689753782 | John Stuart Riedel | Internal Medicine | 19 Hampton Rd, Exeter, NH 03833 | 2006-11-02 |
| 1134151046 | Gregory M Goodkin | Internal Medicine | 3 Alumni Dr Ste 101, Exeter, NH 03833-2122 | 2006-07-07 |
| 1467484386 | Alan R Gladstone | Internal Medicine | 3 Alumni Dr, Ste 101, Exeter, NH 03833-2122 | 2006-07-07 |
| 1720017551 | William G Berndt | Internal Medicine | 3 Alumni Dr Ste 101, Exeter, NH 03833-2122 | 2006-07-02 |
| 1376502823 | Ernest J Podrasky | Internal Medicine | 3 Alumni Dr, Ste 101, Exeter, NH 03833 | 2006-03-22 |
| 1942271515 | Alice A. Passer | Internal Medicine | 3 Alumni Dr, Ste 101, Exeter, NH 03833 | 2006-01-31 |
| Find all providers in EXETER | ||||
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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.