CHARLES E HICKS (NPI# 1720186802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720186802 |
| Entity Type | Individual |
| Full Name | CHARLES E HICKS |
| Other Name | DR. CHARLES E HICKS |
| Practice Address |
140 North St Cleveland MS 38732-2744 |
| Mailing Address |
Po Box 907 Cleveland MS 38732-0907 |
| Practice Telephone | 6628433668 |
| Practice Fax Number | 6628461894 |
| Mailing Telephone | 6628433668 |
| Mailing Fax Number | 6628461984 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
80066 | MS | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00013450 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457609489 | Charles I Hicks | Pharmacist | 9807 Beachvie Dr, Jerome, MI 49249-9551 | 2012-08-23 |
| 1992809214 | Charles Michael Hicks | Dentist | 959 Lincoln Hwy, Fairview Heights, IL 62208-2234 | 2006-09-08 |
| 1831400860 | Charles H Hicks | Internal Medicine | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2010-06-24 |
| 1902053598 | Charles Melville Stanley Hicks | Dentist | 800 Zeagler Dr, Suite 330, Palatka, FL 32177-3883 | 2008-08-26 |
| 1619149721 | Charles P Hicks | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2008-03-28 |
| 1447430905 | Charles Hicks | Licensed Practical Nurse | 111 Nw 183rd St, Suite 400, Miami Gardens, FL 33169-4537 | 2007-11-13 |
| 1558484493 | Charles William Hicks IIi | Psychiatry & Neurology | 8831 Satyr Hill Rd, Suite 211, Baltimore, MD 21234-2306 | 2007-04-07 |
| 1801959671 | Charles Hicks | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1508851627 | Charles Roby Hicks Jr. | Psychiatry & Neurology | 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 | 2005-09-14 |
| Street Address |
140 NORTH ST |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578661633 | Cleveland Foot Clinic Inc | Podiatrist | 140 North St, Cleveland, MS 38732-2744 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750677829 | Elizabeth Gero | Podiatrist | 10701 East Blvd # 112bw, Cleveland, OH 44106-1702 | 2011-06-27 |
| 1598001141 | Premium Foot Care, LLC | Podiatrist | 8819 Quincy Ave, Cleveland, OH 44106-3445 | 2012-12-28 |
| 1205066834 | Deborah L. Cook, Dpm, Inc. | Podiatrist | 11201 Shaker Blvd, Suite 240, Cleveland, OH 44104-3869 | 2009-07-16 |
| 1376600445 | John Lloyd Aron | Podiatrist | 3878 Rocky River Dr, Suite 3, Cleveland, OH 44111-4135 | 2007-01-02 |
| 1578661633 | Cleveland Foot Clinic Inc | Podiatrist | 140 North St, Cleveland, MS 38732-2744 | 2006-09-20 |
| 1568577971 | Deborah Lynn Cook | Podiatrist | 11201 Shaker Blvd, Suite 240, Cleveland, OH 44104-3869 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1770942146 | Sarah Lynn Freed | Podiatrist | 9065 Sandidge Center Cv Ste C, Olive Branch, MS 38654-3574 | 2016-02-15 |
| 1609996982 | Larry K Cruel | Podiatrist | 4510 Office Park Dr, Jackson, MS 39206-6016 | 2007-03-30 |
| 1740309590 | Madison Foot Clinic, Pllc | Podiatrist | 980 Highway 51 Ste B, Madison, MS 39110-8409 | 2007-03-29 |
| 1386715514 | Bruce K. Boyd | Podiatrist | 211 Alcorn Dr, Corinth, MS 38834-8400 | 2006-11-10 |
| 1144316092 | Foot Clinic of Hattiesburg, P.a. | Podiatrist | 710 S 28th Ave, Ste B, Hattiesburg, MS 39402-2585 | 2006-10-05 |
| 1376561779 | Ricky Roach | Podiatrist | 999 N Halstead Rd, Ocean Springs, MS 39564-3105 | 2006-07-17 |
| 1972537041 | Willie James Lewis Sr. | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2006-07-11 |
| 1790779858 | Rose Marie Sotolongo | Podiatrist | 731 S Pear Orchard Rd, Suite 7, Ridgeland, MS 39157-4800 | 2005-09-06 |
| 1598037798 | Oh for Feet Sake, LLC. | Podiatrist | 368 Scarbrough St, Suite B, Richland, MS 39218-9038 | 2012-02-02 |
| Find all providers with the same taxonomy | ||||
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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.