William L Hickerson
UT MEDICAL GROUP, INC.


Address: 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Phone: 9014485950

William L Hickerson (NPI# 1033209606, PAC ID# 0941191605) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1033209606
PAC ID by PECOS 0941191605
Professional Enrollment ID I20080618000340
Full Name William L Hickerson
Organization Legal Name UT MEDICAL GROUP, INC.
Address 853 Jefferson Ave
Suite 201
Memphis
TN 38103-2807
Phone Number 9014485950
Gender M
Credential MD
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1978
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Group Practice PAC ID 3173435369
Number of Group Practice Members 103
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440152 REGIONAL ONE HEALTH

Other Locations

Address Phone Organization
1505 N 2nd St, Memphis, TN 38107-1003 9017910600 UT MEDICAL GROUP, INC.
853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 9014485950 UT MEDICAL GROUP, INC.
877 Jefferson Ave, Memphis, TN 38103-2807 9018668053 UT MEDICAL GROUP, INC.

Organization Information

Organization Legal Name UT MEDICAL GROUP, INC.
Physicians 125

Physicians with the same organization

Name Specialty Organization Address
Anita Waid Nurse Practitioner Ut Medical Group, Inc. 910 Madison Ave, Suite 922, Memphis, TN 38103-3483
Marthinus Theunis Zeeman Addiction Medicine Ut Medical Group, Inc. 6401 Poplar Ave, Memphis, TN 38119-4823
Charlie Busby Family Medicine Ut Medical Group, Inc. 1999 Hwy 51 S, Covington, TN 38019-3630
Ryan S Rahman Family Medicine Ut Medical Group, Inc. 1301 Primacy Pkwy, Memphis, TN 38119-0213
Jonathan William Brugger Ophthalmology Ut Medical Group, Inc. 8001 Centerview Pkwy, Suite 101, Cordova, TN 38018-4260
Brian T Fowler Ophthalmology Ut Medical Group, Inc. 930 Madison Ave, Suite 200, Memphis, TN 38103-3410
Robert D Wallace Plastic and Reconstructive Surgery Ut Medical Group, Inc. 1505 N 2nd St, Memphis, TN 38107-1003
Neal Beckford Otolaryngology Ut Medical Group, Inc. 7675 Wolf River Cir, Suite 202, Memphis, TN 38138-1747
Robert B Canada Internal Medicine Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Iverson C Bell Jr. Psychiatry Ut Medical Group, Inc. 920 Madison Ave, Suite 200, Memphis, TN 38103-3434

Office Location

Street Address 853 JEFFERSON AVE
SUITE 201
City MEMPHIS
State TN
Zip 38103-2807

Physicians in the same location

Name Specialty Organization Address
Robert B Canada Internal Medicine Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Margaret C Hastings Internal Medicine Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Philip S Pinsker Podiatry 853 Jefferson Ave, Suite 2, Washington, PA 15301-3870
Mark F Weems Pediatric Medicine Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Edward A Luce Plastic and Reconstructive Surgery Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Songul Onder Nephrology Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Tejesh Patel Dermatology Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Omer Siddiqui Nephrology Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Petros Konofaos Plastic and Reconstructive Surgery Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Alice Chedid Nephrology Ut Medical Group, Inc. 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Lauren Rhea Miller Internal Medicine Ut Regional One Physicians Inc 718 Harbor Bend Rd, Memphis, TN 38103-0888
Tomisha Byard Nurse Practitioner Ut Regional One Physicians Inc 718 Harbor Bend Rd, Memphis, TN 38103-0888
Matthew C Hayden Chiropractic 45 N 3rd St, Suite 101, Memphis, TN 38103-2354
Daniel Edward Brezina Anesthesiology Pediatric Anesthesiologists P A 50 N Dunlap St, Memphis, TN 38103-2800
Timothy Alan Head Anesthesiology Pediatric Anesthesiologists P A 50 N Dunlap, Memphis, TN 38103-2800
Kristen B Davis Certified Registered Nurse Anesthetist (crna) Pediatric Anesthesiologists P A 50 N Dunlap St, Memphis, TN 38103-2800
James R. Antony Bradley Anesthesiology Pediatric Anesthesiologists P A 50 N Dunlap St, Memphis, TN 38103-2800
Erica Grissom Certified Registered Nurse Anesthetist (crna) Pediatric Anesthesiologists P A 50 N Dunlap St, Memphis, TN 38103-2800
Thomas Boyce Hamilton Anesthesiology Pediatric Anesthesiologists P A 50 N Dunlap St, Memphis, TN 38103-2800
Adam P Willis Anesthesiology Pediatric Anesthesiologists P A 50 N Dunlap St, Memphis, TN 38103-2800
Find all physicians in zip 38103

Competitor

Search similar physicians

City MEMPHIS
Zip Code 38103
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty MEMPHIS + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

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.

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