Telisa Hickson (NPI# 1700369956, PAC ID# 4385971654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1700369956 |
| PAC ID by PECOS | 4385971654 |
| Professional Enrollment ID | I20190808002873 |
| Full Name | Telisa Hickson |
| Organization Legal Name | NATIONAL PIKE HEALTH CENTER |
| Address |
5411 Old Frederick Rd Suite 13 Baltimore MD 21229-2126 |
| Phone Number | 4107448100 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7113254988 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5411 Old Frederick Rd, Suite 13, Baltimore, MD 21229-2126 | 4107448100 | NATIONAL PIKE HEALTH CENTER |
| Organization Legal Name | NATIONAL PIKE HEALTH CENTER |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Icia Ragsdale | Clinical Social Worker | National Pike Health Center | 5411 Old Frederick Rd, Suite 13, Baltimore, MD 21229-2126 |
| Street Address |
5411 OLD FREDERICK RD SUITE 13 |
| City | BALTIMORE |
| State | MD |
| Zip | 21229-2126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Mccormack | Internal Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Christine L Commerford | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Victoria Steiner-larsen | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Icia Ragsdale | Clinical Social Worker | National Pike Health Center | 5411 Old Frederick Rd, Suite 13, Baltimore, MD 21229-2126 |
| Damian E Birchess | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Wondwosen Abdi | Gastroenterology | Wondwosen Abdi, Md,pa | 5411 Old Frederick Rd, Suite 11, Baltimore, MD 21229-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnny T Yap | Obstetrics/gynecology | 5200 Baltimore National Pike, Baltimore, MD 21229-1024 | |
| Catharine L Weiss | Clinical Psychologist | University Care LLC | 4538 Edmondson Ave, Baltimore, MD 21229-1506 |
| Mesay W Gebresilassie | Nurse Practitioner | California Emergency Physicians Medical Group A Professional Corp | 22 S Athol Ave, Baltimore, MD 21229-3405 |
| Atiq U Rahman | Internal Medicine | 3350 Wilkens Ave, Suite 202, Baltimore, MD 21229-4617 | |
| Ebenezer K Quainoo | Internal Medicine | 3350 Wilkens Ave, Suite 307, Baltimore, MD 21229-4618 | |
| Nicole Brown | Physical Therapy | Life Fitness Physical Therapy LLC | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4618 |
| Deborah J Kim | Physical Therapy | Life Fitness Physical Therapy LLC | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4618 |
| Celeste Maria Bland-guary | Clinical Social Worker | 3350 Wilkens Ave, 301 Journey In The Garden, Baltimore, MD 21229-4618 | |
| Lori A Ketler | Physical Therapy | Life Fitness Physical Therapy LLC | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4618 |
| Joshua A Levin | Chiropractic | 4600 Wilkens Ave, Suite 102, Baltimore, MD 21229-4843 | |
| Find all physicians in zip 21229 | |||
| City | BALTIMORE |
| Zip Code | 21229 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BALTIMORE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Telisa Hickson.
| 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.