Benjamin Hicks (NPI# 1891988481, PAC ID# 0547556680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891988481 |
| PAC ID by PECOS | 0547556680 |
| Professional Enrollment ID | I20160915001557 |
| Full Name | Benjamin Hicks |
| Organization Legal Name | ESS OF SALISAW, LLC |
| Address |
213 E Redwood Sallisaw OK 74955-2811 |
| Phone Number | 9187741110 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6002170578 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371323 | WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD |
| 370178 | MEMORIAL HOSPITAL |
| 371340 | MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY |
| 370112 | SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT |
| 371336 | NEWMAN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 213 E Redwood, Sallisaw, OK 74955-2811 | 9187741110 | ESS OF SALISAW, LLC |
| 1401 W Locust St, Stilwell Memorial Hospital, Stilwell, OK 74960-3275 | 9186963101 | ESS OF STILWELL, LLC |
| Organization Legal Name | ESS OF SALISAW, LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Bergstrom | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Austin Tanner Brookover | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Jason A Mcelyea | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| John A Carlisle | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Eric A Amberson | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Michael John Boger | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Rafe M Coker | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Billy J. Buffington | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Andrew S Ryals | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Alainna J Simpson | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Street Address |
213 E REDWOOD |
| City | SALLISAW |
| State | OK |
| Zip | 74955-2811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Bergstrom | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Austin Tanner Brookover | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Jason A Mcelyea | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| John A Carlisle | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Eric A Amberson | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Michael John Boger | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Rafe M Coker | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Billy J. Buffington | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Andrew S Ryals | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Alainna J Simpson | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin D Hannah | Certified Registered Nurse Anesthetist | Sequoyah County City of Sallisaw Hospital Authority | 213 E Redwood Hospital, Sallisaw, OK 74955-2811 |
| Michael D Coleman Jr. | Internal Medicine | Mercy Clinic Fort Smith Communities | 213 E Redwood Ave, Sallisaw, OK 74955-2811 |
| Jennifer C Scoufos | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Ryan Sullivan | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Robert L Nowlin | Internal Medicine | Mercy Clinic Fort Smith Communities | 213 E Redwood Ave, Sallisaw, OK 74955-2811 |
| Alia M Walker | Physician Assistant | Mercy Clinic Fort Smith Communities | 213 E Redwood Ave, Sallisaw, OK 74955-2811 |
| Rick L Robbins | Family Medicine | 511 E Redwood Ave, Sallisaw, OK 74955-3020 | |
| James M Johnston Iii | Endocrinology | Smh Physician Group, LLC | 511 E Redwood Ave, Sallisaw, OK 74955-3020 |
| Wyman D Dobbs | Optometry | 603 W Cherokee Ave, Sallisaw, OK 74955-4213 | |
| Matthew Alan Bauer | Chiropractic | 502 E Cherokee Ave, Sallisaw, OK 74955-4842 | |
| Find all physicians in zip 74955 | |||
| City | SALLISAW |
| Zip Code | 74955 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SALLISAW + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Benjamin Hicks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.