NANDAN RAMESH HICHKAD (NPI# 1740236314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740236314 |
Entity Type | Individual |
Full Name | NANDAN RAMESH HICHKAD |
Other Name | NANDAN RAMESH HICHKAD |
Practice Address |
840 Pine St Suite 880 Macon GA 31201 |
Mailing Address |
160 Deer Ridge Trl Macon GA 31210-5713 |
Practice Telephone | 4787437092 |
Practice Fax Number | 4787437320 |
Mailing Telephone | 4787437092 |
Mailing Fax Number | 4787437320 |
Enumeration Date | 2006-05-25 |
Last Update Date | 2018-06-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2503 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 100002797A | 05 |
Street Address |
840 PINE ST SUITE 880 |
City | MACON |
State | GA |
Zip Code | 31201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932191582 | Alan N Gordon | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2005-08-19 |
1164973327 | Patricia Tarver | Nurse Practitioner | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-10-21 |
1801243894 | Konstantinos Fountas | Neurological Surgery | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-05-19 |
1487000501 | Jessica Knight | Nurse Practitioner | 840 Pine St, Ste 900, Macon, GA 31201-2100 | 2016-05-07 |
1932567716 | Kaci Robinson | Nurse Practitioner | 840 Pine St, Ste 510, Macon, GA 31201-2100 | 2016-02-08 |
1245648245 | Stephanie Tolliver-epps | Nurse Practitioner | 840 Pine St, Macon, GA 31201-2100 | 2014-07-23 |
1518389170 | Jonathan Haynes | Physician Assistant | 840 Pine St, Ste 500, Macon, GA 31201-2100 | 2014-01-15 |
1164862710 | Alison M Robbins | Nurse Practitioner | 840 Pine St, Ste 780, Macon, GA 31201-2100 | 2013-06-27 |
1336582626 | Charles D Gomez | Student in an Organized Health Care Education/Training Program | 840 Pine St, Macon, GA 31201-2100 | 2013-04-17 |
1932485125 | Children's Neurology Ctr Macon, LLC | Psychiatry & Neurology | 840 Pine St, Ste 970, Macon, GA 31201-2100 | 2011-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
Find all providers in zip 31201 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609052075 | Erica Diouf | Physician Assistant | 2844 Barrett Ave, Macon, GA 31206-4834 | 2008-01-16 |
1447376660 | Tm Martin Inc | Physician Assistant | 238 Wesley Cir, Macon, GA 31204-2458 | 2007-03-21 |
1376923425 | Eryn Dunwody | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2015-06-04 |
1801213467 | Jeffrey Brown | Physician Assistant | 575 1st St, Macon, GA 31201-2825 | 2014-03-20 |
1861760027 | Vein Specialists of The South | Physician Assistant | 556 3rd St, Macon, GA 31201-7934 | 2011-12-02 |
1831388149 | Paul D Folendore IIi | Physician Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2007-10-23 |
1578647277 | Tracy Denise Davis | Physician Assistant | 688 Walnut St, Suite 200, Macon, GA 31201-2677 | 2006-10-25 |
1235176819 | Jessica Lyn Menard | Physician Assistant | 840 Pine St, Suite 880, Macon, GA 31201 | 2006-06-01 |
1205816964 | Paul Jeffrey White | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2006-01-19 |
1942289186 | Tammy Michelle Harmsen | Physician Assistant | 688 Walnut St, Ste 200, Macon, GA 31201-2677 | 2006-01-16 |
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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.