SHANNON T. HICKS (NPI# 1790136901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790136901 |
| Entity Type | Individual |
| Full Name | SHANNON T. HICKS |
| Credential | MD |
| Practice Address |
846 Lake Howell Rd Maitland FL 32751-5222 |
| Practice Telephone | 4077672477 |
| Mailing Telephone | 4077672477 |
| Mailing Fax Number | 4077671627 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME140317 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 W Broadway St, Oviedo, FL 327659260 | 4077672477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871143685 | Shannon Marie Hicks | Nurse Practitioner | 1109 Randolph St, Traverse City, MI 49684-2122 | 2019-09-13 |
| 1417295320 | Shannon Hicks | Counselor | 7136 Gettysburg Pike, Fort Wayne, IN 46804-5680 | 2013-01-28 |
| 1104144286 | Shannon Ashley Hicks | Social Worker | 45 Willow Street, Springfield, MA 01103 | 2010-05-13 |
| 1104944883 | Shannon Camp Hicks | Counselor | 1202 N Stateline, Texarkana, AR 71854-4969 | 2007-03-27 |
| 1154460038 | Shannon Hicks | Speech-Language Pathologist | 10121 Comanche Rd Ne, Mitchell Es, Albuquerque, NM 87111-3614 | 2007-02-06 |
| 1700131414 | Shannon Miller Hicks | Physical Therapist | 6041 Garners Ferry Rd, Suite B, Columbia, SC 29209-1304 | 2012-07-18 |
| 1679835375 | Shannon Lynn Hicks | Case Manager/Care Coordinator | 721 Highway 46 S, Dickson, TN 37055-2565 | 2012-06-09 |
| 1366691917 | Shannon Kathleen Hicks | Dentist | 800 Zeagler Dr, Suite 330, Palatka, FL 32177-3883 | 2008-09-18 |
| 1659558005 | Shannon Troy Hicks | Recreation Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2008-01-29 |
| 1275637613 | Shannon Ann Hicks | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2006-09-07 |
| Street Address |
846 LAKE HOWELL RD |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441947 | Brenda B Holson | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2006-01-12 |
| 1881212223 | Amanda Roberts | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2020-07-13 |
| 1477905156 | William Keith Beckman | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2016-07-06 |
| 1053781021 | Maryphyllis Crean | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2015-10-02 |
| 1265816250 | Cori Thompson | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2015-07-20 |
| 1255692711 | Sareh S Dyer | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2012-05-31 |
| 1508181686 | Teresa Perrault | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2010-04-01 |
| 1942311394 | Gabriela M Roitman-geller | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2006-08-31 |
| 1659380459 | New Interlachen Pediatrics, P.a. | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2006-08-08 |
| 1841213980 | Melanie H Emmert | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942264957 | Richard G Rodriguez | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2006-04-14 |
| 1568441947 | Brenda B Holson | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2006-01-12 |
| 1619968617 | Jennifer S. Thielhelm | Pediatrics | 800 N Maitland Ave Ste 102, Maitland, FL 32751-4499 | 2005-10-31 |
| 1275522757 | Howard M. Pelteson | Pediatrics | 800 N Maitland Ave, Suite 102, Maitland, FL 32751-4489 | 2005-10-18 |
| 1730721309 | Kara Dobson | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2019-10-15 |
| 1205335007 | Julie Ann Muser | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2018-02-07 |
| 1649719477 | Sunshine Pediatrics of Central Florida | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2017-02-13 |
| 1477905156 | William Keith Beckman | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2016-07-06 |
| 1538521307 | John Edward Clore | Pediatrics | 100 E Sybelia Ave Ste 100, Maitland, FL 32751-4748 | 2016-03-22 |
| 1376846733 | Florida Pediatric Associates, LLC | Pediatrics | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751-6114 | 2010-12-07 |
| Find all providers in MAITLAND | ||||
Please comment or provide details below to improve the information on SHANNON T. HICKS.
| 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.