JOHNNY D HICKSON III (NPI# 1528295755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528295755 |
| Entity Type | Individual |
| Full Name | JOHNNY D HICKSON III |
| Credential | M.D. |
| Practice Address |
11000 Hefner Pointe Dr Oklahoma City OK 73120-5039 |
| Practice Telephone | 4057499655 |
| Practice Fax Number | 4057491001 |
| Mailing Telephone | 4057499655 |
| Mailing Fax Number | 4057491001 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2015-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 30411 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
11000 HEFNER POINTE DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-5039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058809 | Kristi Michelle Parker | Physician Assistant | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2005-07-28 |
| 1174884886 | Aaron Benham | Urology | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2012-05-30 |
| 1811283161 | Charles T Snyder | Urology | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2011-06-24 |
| 1013948454 | Barbara L Voss-alvarez | Urology | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2006-07-05 |
| 1710914718 | Natalie A Esparza | Urology | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2006-06-26 |
| 1861429052 | Daniel P Barnes | Urology | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2006-06-26 |
| 1639114507 | Donald Glen Coles | Urology | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2006-06-17 |
| 1659313252 | Urology Associates, Inc. | Urology | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2006-06-11 |
| 1174565709 | Jesse Samuel Little Jr. | Urology | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2006-06-11 |
| 1346282977 | Nicholas J Pappas | Urology | 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338426 | Davis Urology, Pllc | Urology | 13509 N Meridian Ave Ste 6, Oklahoma City, OK 73120-8396 | 2020-08-26 |
| 1073146304 | Roy W Bankhead Md PC | Urology | 5700 N Portland Ave Ste 100, Oklahoma City, OK 73112-1662 | 2020-02-14 |
| 1851877567 | Richard E. Herlihy Md, PC | Urology | 4140 W Memorial Rd Ste 611, Oklahoma City, OK 73120-8300 | 2018-07-16 |
| 1306383849 | Urology Affiliates of Oklahoma LLC | Urology | 5300 N Grand Blvd Ste 200, Oklahoma City, OK 73112-5517 | 2017-01-23 |
| 1285015057 | Caitlin Shepherd | Urology | 722 Nw 28th St, Oklahoma City, OK 73103-1009 | 2015-06-17 |
| 1295174969 | Joseph Fernando Rodriguez IIi | Urology | 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK 73104-5036 | 2013-06-17 |
| 1992055990 | Kathryn Griffin Cunningham | Urology | 4140 W Memorial Rd Ste 208, Oklahoma City, OK 73120 | 2012-09-17 |
| 1477847374 | Bhalaajee Meenakshi-sundaram | Urology | 1200 Childrens Ave # 7d, Oklahoma City, OK 73104 | 2011-06-08 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| 1093959785 | Sanjay Govind Patel | Urology | 800 Ne 10th St Ste 4300, Oklahoma City, OK 73104-5418 | 2009-04-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.