DR. CHARLES MELVILLE STANLEY HICKS (NPI# 1902053598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902053598 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MELVILLE STANLEY HICKS |
| Credential | DMD |
| Practice Address |
800 Zeagler Dr Suite 330 Palatka FL 32177-3883 |
| Practice Telephone | 3863256000 |
| Practice Fax Number | 3863259306 |
| Mailing Telephone | 3863256000 |
| Mailing Fax Number | 3863259306 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN0013368 | FL | Dental Providers |
| 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 |
| 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 |
| 1720186802 | Charles E Hicks | Podiatrist | 140 North St, Cleveland, MS 38732-2744 | 2006-09-20 |
| 1508851627 | Charles Roby Hicks Jr. | Psychiatry & Neurology | 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 | 2005-09-14 |
| Street Address |
800 ZEAGLER DR SUITE 330 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175235 | Holly A Sheets Dpm Pa | Podiatrist | 800 Zeagler Dr, Ste 510, Palatka, FL 32177-3867 | 2005-06-28 |
| 1518493667 | Infectious Diseases & Tropical Medicine Pa | Internal Medicine | 800 Zeagler Dr, Suite 210, Palatka, FL 32177-3883 | 2017-05-11 |
| 1376904417 | Mandal's Conservative Nephrology Practice, LLC | Internal Medicine | 800 Zeagler Dr, Palatka, FL 32177-3883 | 2016-03-17 |
| 1003201906 | The Orthopaedic Institute, P.a. | Surgery | 800 Zeagler Dr, Suite 100, Palatka, FL 32177 | 2015-03-30 |
| 1346647435 | Putnam Neurology Group, Inc. | Specialist | 800 Zeagler Dr, Suite #230, Palatka, FL 32177-3883 | 2014-12-04 |
| 1962830521 | Vip Doctors Care of Palatka LLC | Family Medicine | 800 Zeagler Dr, Suite 510, Palatka, FL 32177-3883 | 2013-10-17 |
| 1013349802 | Putnam Physicians Group LLC | Internal Medicine | 800 Zeagler Dr, Suite 430, Palatka, FL 32177-3883 | 2013-08-02 |
| 1154684850 | Hussein Zabad Md Pa | Internal Medicine | 800 Zeagler Dr, Suite 430, Palatka, FL 32177-3883 | 2012-06-19 |
| 1689931727 | George A. Davis, M.d., P.a. | Ophthalmology | 800 Zeagler Dr, Suite 120, Palatka, FL 32177-3827 | 2012-04-13 |
| 1881962439 | Putnam Physician Practices | Psychiatry & Neurology | 800 Zeagler Dr, Suite 230, Palatka, FL 32177-3883 | 2011-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964854 | Phillip Martin Robbins | Dentist | 6200 Saint Johns Ave, Palatka, FL 32177-3801 | 2018-06-04 |
| 1538680053 | Youngjin Kang | Dentist | 717 S State Road 19, Palatka, FL 32177-3946 | 2017-07-06 |
| 1700174216 | Daniel Thomas Brauneck | Dentist | 120 S Highway 19, Palatka, FL 32177-3935 | 2011-07-18 |
| 1922103274 | Hicks & Hicks Pa | Dentist | 800 Zeagler Drive, Suite 330, Palatka, FL 32177 | 2006-09-13 |
| 1336750470 | Lynn My Le | Dentist | 2503 President St, Palatka, FL 32177-5433 | 2020-08-12 |
| 1801436043 | Richard A Perallon Dmd Pa | Dentist | 205 Zeagler Dr Ste 301, Palatka, FL 32177-3860 | 2020-01-15 |
| 1790024248 | St. Johns River Dental | Dentist | 500 S Highway 19, Palatka, FL 32177-3943 | 2013-02-04 |
| 1922231125 | Richard Okyere Williams | Dentist | 2801 Kennedy St, Palatka, FL 32177-4109 | 2009-09-03 |
| 1366691917 | Shannon Kathleen Hicks | Dentist | 800 Zeagler Dr, Suite 330, Palatka, FL 32177-3883 | 2008-09-18 |
| 1740490945 | Jeffrey Reid Slotten | Dentist | 205 Zeagler Dr, Suite 502, Palatka, FL 32177-3888 | 2007-05-23 |
| Find all providers in PALATKA | ||||
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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.