CHAD A. HICKS (NPI# 1760992663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760992663 |
Entity Type | Individual |
Full Name | CHAD A. HICKS |
Credential | PA-C |
Practice Address |
2121 Hughes Dr Ste 710 Toledo OH 43606-5131 |
Mailing Address |
333 N Summit St Fl 7 Toledo OH 43604-1531 |
Practice Telephone | 4192912671 |
Practice Fax Number | 4192912680 |
Mailing Telephone | 4192912671 |
Mailing Fax Number | 4192912680 |
Enumeration Date | 2017-10-05 |
Last Update Date | 2020-07-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.005399RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
5601008321 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
331 W Main St, Hudson, MI 492471051 | 5174482371 | 5174487313 |
818 Riverside Ave, Adrian, MI 492211446 | 5172650428 | 2313466031 |
Street Address |
2121 HUGHES DR STE 710 |
City | TOLEDO |
State | OH |
Zip Code | 43606-5131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790814416 | Nicole M Mcbrier | Physician Assistant | 2121 Hughes Dr Ste 710, Toledo, OH 43606-5128 | 2007-03-06 |
1356841480 | Daniel Lee Trumbull | Physician Assistant | 2121 Hughes Dr Ste 710, Toledo, OH 43606-3845 | 2018-02-15 |
1043442064 | Rachel Ann Mullins | Registered Nurse | 2121 Hughes Dr Ste 710, Toledo, OH 43606-5131 | 2009-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
Find all providers in zip 43606 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
1568459329 | Sherry L Parks | Physician Assistant | 401 1st Ave, Toledo, IA 52342-2129 | 2005-10-05 |
1336147321 | Natalie Lizette Talboo | Physician Assistant | 2121 Hughes Dr Ste 310, Toledo, OH 43606-3845 | 2005-07-13 |
1265052468 | Brandon Darnell Dais | Physician Assistant | 5085 Monroe St, Toledo, OH 43623-3455 | 2020-04-17 |
1144852542 | Eric James Czech | Physician Assistant | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2020-02-04 |
1669013389 | Bryce Robert Woelmer | Physician Assistant | 2109 Hughes Dr Ste 450, Toledo, OH 43606-5102 | 2019-10-03 |
1083264931 | Candice Williams | Physician Assistant | 1425 Starr Ave, Toledo, OH 43605-2456 | 2019-09-12 |
1902363716 | Kiley Ann Stevenson | Physician Assistant | 2000 Regency Ct Ste 201, Toledo, OH 43623-3075 | 2019-02-28 |
1316477623 | Robert Joseph Fisher | Physician Assistant | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2017-06-19 |
1083077218 | Kimberly Kaczmarek | Physician Assistant | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2016-04-04 |
Find all providers in TOLEDO |
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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.