DR. DONALD E. HICKS (NPI# 1629149190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629149190 |
| Entity Type | Individual |
| Full Name | DR. DONALD E. HICKS |
| Credential | MD |
| Practice Address |
120 Hospital Dr Suite 225 Lebanon MO 65536-9238 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4175336710 |
| Practice Fax Number | 4175336719 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 114220 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209680107 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736507 | Donald Hicks | Driver | 6677 Sturgeon Rd, Dolphin, VA 23843-2517 | 2017-08-16 |
| 1316966286 | Donald Eugene Hicks | Physician Assistant | 4205 Franklin Ave, Waco, TX 76710 | 2006-07-19 |
| 1003448135 | Donald Ray Hicks Jr. | Hearing Instrument Specialist | 2430 Atlanta Rd Se Ste 100, Smyrna, GA 30080-2024 | 2020-02-06 |
| 1669510277 | Donald Brent Hicks | Dentist | 1550 W Rosedale St, Suite 504, Ft Worth, TX 76104-7438 | 2007-02-03 |
| 1003966276 | Donald Hicks | Specialist/Technologist, Other | 4401 Middle Settlement Rd, Suite 102, New Hartford, NY 13413-5331 | 2007-01-11 |
| Street Address |
120 HOSPITAL DR SUITE 225 |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-9238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073023586 | Alyssa Lynn Wright | Nurse Practitioner | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2017-10-10 |
| 1922457886 | Katherine Becker | Nurse Practitioner | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2016-06-10 |
| 1760841571 | Alysa Barcus | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2016-02-22 |
| 1134595952 | David Houzenga | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2015-08-16 |
| 1124403944 | Lisa M. Boggs | Nurse Practitioner | 120 Hospital Dr, Suite 300, Lebanon, MO 65536-9238 | 2015-07-22 |
| 1578901773 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | 2013-06-10 |
| 1366880874 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2013-06-06 |
| 1457798167 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 300/350, Lebanon, MO 65536-9238 | 2013-06-04 |
| 1134478738 | Rajasekhar Tanikella | Hospitalist | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2012-08-29 |
| 1063784411 | Morgana Hazell | Counselor | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2012-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447644935 | Joshua Jones | Obstetrics & Gynecology | 120 Hospital Dr Ste 225, Lebanon, MO 65536-9254 | 2015-03-24 |
| 1801231139 | Matthew Adam Keller | Obstetrics & Gynecology | 845 Helen Dr, Lebanon, PA 17042-7493 | 2013-04-30 |
| 1588858567 | Edmundo Humberto Yibirin | Obstetrics & Gynecology | 1421 W Baddour Pkwy Ste B, Lebanon, TN 37087 | 2007-08-31 |
| 1194835207 | Alton W Pickett | Obstetrics & Gynecology | 437 Park Ave, Suite A, Lebanon, TN 37087 | 2006-08-30 |
| 1922010396 | Lynval T Reynolds | Obstetrics & Gynecology | 330 Loretto Rd Ste 500a, Lebanon, KY 40033-1308 | 2006-08-13 |
| 1881644763 | Clarinda Burton-shannon | Obstetrics & Gynecology | 1405 W Baddour Pkwy Ste 105, Lebanon, TN 37087-2568 | 2006-05-11 |
| 1902865124 | Karen Elise Gaspardi | Obstetrics & Gynecology | 675 N 5th St, Lebanon, OR 97355-2875 | 2006-03-17 |
| 1740276757 | Susan E Mooney | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2005-09-26 |
| 1639163322 | Robert W Mccarty | Obstetrics & Gynecology | 2505 N Lebanon St Ste 208, Lebanon, IN 46052-8611 | 2005-09-08 |
| 1750375689 | Ted R Winkler | Obstetrics & Gynecology | 2505 N Lebanon St, Suite 208, Lebanon, IN 46052-8612 | 2005-09-07 |
| Find all providers in LEBANON | ||||
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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.