DR. RANDALL D HICKS (NPI# 1982600060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982600060 |
| Entity Type | Individual |
| Full Name | DR. RANDALL D HICKS |
| Credential | M.D. |
| Practice Address |
2024 15th St Fl 2 Meridian MS 39301-4130 |
| Practice Telephone | 6015532000 |
| Practice Fax Number | 6014838869 |
| Mailing Telephone | 6015532000 |
| Mailing Fax Number | 6014838869 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2013-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
10697 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00114852 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831346329 | Randall Hicks | Chiropractor | 24326 Mission Blvd Ste 3, Hayward, CA 94544-1058 | 2008-08-26 |
| 1699983940 | Randall Blair Hicks | Psychologist | 22 South State Street, Newtown, PA 18940-3507 | 2007-05-18 |
| 1932677010 | Randall Hicks | Behavior Technician | 3978 Sorrento Valley Blvd Ste 100, San Diego, CA 92121-1436 | 2018-11-07 |
| 1760726699 | Randall S Hicks | Nurse Practitioner | 300 Tuskegee Blvd, Dover Afb, DE 19902 | 2012-11-15 |
| Street Address |
2024 15TH ST FL 2 |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858541 | Randall Scott Joransen | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2005-06-01 |
| 1265806038 | Sonia Rodriguez | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2015-11-17 |
| 1891176947 | Joel Ashley Moore II | Family Medicine | 2024 15th St Fl 2, Meridian, MS 39301 | 2015-06-15 |
| 1326460627 | Paula Chisholm Morgan | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2014-01-06 |
| 1366877268 | Cindy R. Patrick | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2013-09-10 |
| 1780939660 | Imran Umer | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2012-07-17 |
| 1669778635 | Linda S Kirkman | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2011-02-08 |
| 1508170853 | Rahmath U Begum | Family Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2010-07-28 |
| 1669618302 | Amina Nyoka Goodwin-fernandez | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2008-12-31 |
| 1942450796 | Lori M Barnett | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2008-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1154406437 | Robert C Dobrowolski | Internal Medicine | 2131 S. Bonito Way, Meridian, ID 83642 | 2006-10-26 |
| 1609867209 | Joel Charles Reynolds | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2005-11-02 |
| 1578915898 | Rc Dobrowolski PC | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2016-07-11 |
| 1124357645 | Robert L. Davidson, M.d. Pllc | Internal Medicine | 520 S Eagle Rd, Suite 1245, Meridian, ID 83642-6351 | 2009-12-11 |
| 1952543118 | Aaron Fearday | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2009-04-01 |
| 1902963101 | Boise Kidney & Hypertension Pllc | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2007-01-03 |
| 1437194552 | Mary O'kief Dittrich | Internal Medicine | 3525 E Louise Dr, Ste 100, Meridian, ID 83642-6302 | 2006-06-20 |
| 1518944198 | Robert E Clark | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2005-12-27 |
| 1336126911 | John C Andy | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2005-12-27 |
| Find all providers in MERIDIAN | ||||
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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.