DR. WILLIAM M HICKS (NPI# 1912992546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912992546 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM M HICKS |
| Other Name | DR. WILLIAM M HICKS |
| Credential | MD |
| Practice Address |
2130 North Charles Seivers Blvd Ste 4 Clinton TN 37716 |
| Mailing Address |
2130 North Charles Seivers Blvd Ste 4 Clinton TN 37716 |
| Practice Telephone | 8654574044 |
| Practice Fax Number | 8654574942 |
| Mailing Telephone | 8654574044 |
| Mailing Fax Number | 8654574942 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 03952 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3149566 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679727903 | William B Hicks | Counselor | 233 W Baseline Rd, La Verne, CA 91750-3383 | 2008-11-13 |
| 1598756157 | William B Hicks | Allergy & Immunology | 3100 Kennard St, Maplewood, MN 55109-5439 | 2005-11-02 |
| 1558362681 | William Marlin Hicks | Optometrist | 183 Hospital Rd, Suite H, Winchester, TN 37398-2470 | 2005-08-10 |
| 1164422176 | William E. Hicks | Family Medicine | 101 Willmar Avenue Sw, Willmar, MN 56201-3591 | 2005-08-01 |
| 1639793573 | William Harrison Hicks | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-06-06 |
| 1437634722 | William Ray Hicks | Peer Specialist | 306 N 2nd St, Piedmont, MO 63957-1301 | 2018-10-02 |
| 1003154022 | William Craig Hicks | Nurse Anesthetist, Certified Registered | 1431 Sw 1st Ave, Ocala, FL 34471-6500 | 2013-01-25 |
| 1487903381 | William Leonard Hicks | Marriage & Family Therapist | 7671 Central Ave Ne, Suite 208, Fridley, MN 55432-3575 | 2012-09-06 |
| 1437467719 | William Charles Hicks | Counselor | 1724 Village Way, Suite A, Orange Park, FL 32073 | 2010-09-20 |
| 1225341613 | William Hicks | Pharmacist | 5968 W Parker Rd, Plano, TX 75093-6441 | 2010-07-14 |
| Street Address |
2130 NORTH CHARLES SEIVERS BLVD STE 4 |
| City | CLINTON |
| State | TN |
| Zip Code | 37716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543950 | Latesha Powell | Specialist | 8708 Shannan Dr, Clinton, MD 20735-2447 | 2016-04-13 |
| 1093111775 | Becquelyn Green | Specialist | 104 Elgin Pl, Clinton, MS 39056-3946 | 2014-11-07 |
| 1710301908 | Heather Oakes | Specialist | 8577 Wonderland Ave Nw, Clinton, OH 44216-9516 | 2014-02-10 |
| 1366870347 | Jay De Vera | Specialist | 417 W Elizabeth St Apt A, Clinton, NC 28328-4465 | 2013-10-29 |
| 1346676459 | Belinda Gail Holt | Specialist | 814 W Gary Blvd, Clinton, OK 73601-2720 | 2013-09-20 |
| 1689000879 | Salim Y. Mansoor M.d., P.a. | Specialist | 7501 Surratts Rd Ste 110, Clinton, MD 20735-3350 | 2013-09-19 |
| 1003183666 | Rosemary S Marcus | Specialist | 102 College St, Clinton, NY 13323-1637 | 2011-11-28 |
| 1003060757 | Eastern Ent Sinus & Allergy Center, Pa | Specialist | 504 Balsey St, Clinton, NC 28328-2902 | 2008-11-07 |
| 1487804936 | Amecia Dore Usual | Specialist | 9135 Piscataway Rd Ste 340, Clinton, MD 20735-2576 | 2008-09-21 |
| 1548440290 | Carlene Oliver | Specialist | 407 Oak Tree Dr, Clinton, MI 49236-9739 | 2007-11-10 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on DR. WILLIAM M 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.