KEVIN ANDREW HICKS (NPI# 1427106624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427106624 |
| Entity Type | Individual |
| Full Name | KEVIN ANDREW HICKS |
| Credential | M.D. |
| Practice Address |
300a Temple Lake Dr Suite 1 Colonial Heights VA 23834-2972 |
| Practice Telephone | 8045242400 |
| Practice Fax Number | 8045261852 |
| Mailing Telephone | 8045242400 |
| Mailing Fax Number | 8045261852 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2012-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 0101238458 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1427106624 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811530793 | Kevin Hicks | Private Vehicle | 122 N Plains Dr, Petersburg, VA 23805-9110 | 2019-10-23 |
| 1649311648 | Kevin Hicks | Physical Therapist | 121 Cahill Rd Ste 101, Branson, MO 65616-2036 | 2007-02-11 |
| 1982704789 | Kevin Bernard Hicks | Family Medicine | 6105 Peachtree Dunwoody Rd Ste C115, Atlanta, GA 30328-5943 | 2006-09-22 |
| 1821060419 | Kevin W. Hicks | Optometrist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2006-02-07 |
| 1750381208 | Kevin L. Hicks | Dentist | 100 Highlands Dr. Suite 209, Lititz, PA 17543 | 2005-07-27 |
| 1073741286 | Kevin Hicks | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2009-06-25 |
| 1689855702 | Kevin Richard Hicks | Case Manager/Care Coordinator | 211 Blanchard, Mountain View, AR 72560-0492 | 2007-11-16 |
| 1730380072 | Kevin Spencer Hicks | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664 | 2007-05-31 |
| 1669490413 | Kevin O. Hicks | Specialist | 113 Nationwide Dr, Lynchburg, VA 24502-4272 | 2006-07-18 |
| 1851346597 | Kevin Howard Hicks | Physical Therapist | 1104 E Grace St, Jasper County Hospital, Rensselaer, IN 47978-3211 | 2006-05-23 |
| Street Address |
300A TEMPLE LAKE DR SUITE 1 |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-2972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
| 1013303486 | Mukarram Razvi | Neuromusculoskeletal Medicine & OMM | 1999 S Main St Ste 505j, Blacksburg, VA 24060-6601 | 2015-04-12 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1710133228 | Jason A. Sneed | Neuromusculoskeletal Medicine & OMM | 2525 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2008-08-15 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| 1376750646 | Nancy Laura Liles | Neuromusculoskeletal Medicine & OMM | 7455 Mcconnell Rd, Roanoke, VA 24019-3241 | 2007-05-17 |
| 1033232269 | Alina H Tobey | Neuromusculoskeletal Medicine & OMM | 1691 Innovation Dr Ste 2100, Blacksburg, VA 24060-6828 | 2007-04-10 |
| 1588782213 | Michael J Porvaznik | Neuromusculoskeletal Medicine & OMM | 4910 31st St S, Suite A, Arlington, VA 22206-1656 | 2007-03-27 |
| 1396873774 | Janine Marie Talty | Neuromusculoskeletal Medicine & OMM | 2702 Brambleton Ave Sw, Roanoke, VA 24015-4308 | 2007-02-28 |
| 1043385370 | Harold Kornylak | Neuromusculoskeletal Medicine & OMM | 1432 E Bay Shore Dr, Virginia Beach, VA 23451-3760 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
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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.