Tanda E Hicks (NPI# 1053312504, PAC ID# 6901891860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053312504 |
| PAC ID by PECOS | 6901891860 |
| Professional Enrollment ID | I20040419001421 |
| Full Name | Tanda E Hicks |
| Organization Legal Name | BANNER HEALTH PHYSICIANS WEST LLC |
| Address |
201 14th St Wheatland WY 82201-3201 |
| Phone Number | 3073222626 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092978866 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 531305 | PLATTE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1356 Shiek St, Wheatland, WY 82201-3231 | 3073223861 | BANNER HEALTH PHYSICIANS WEST LLC |
| 1551 Brice St, Wheatland, WY 82201-3505 | 3073223861 | PLATTE COUNTY MEMORIAL HOSPITAL |
| 201 14th St, Wheatland, WY 82201-3201 | 3073222626 | BANNER HEALTH PHYSICIANS WEST LLC |
| 1106 Big Horn Ave, Worland, WY 82401-2803 | 3073478801 | BANNER HEALTH PHYSICIANS WEST LLC |
| Organization Legal Name | BANNER HEALTH PHYSICIANS WEST LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer E. Keller | Nurse Practitioner | Banner Health Physicians West LLC | 222 S 5th St, Douglas, WY 82633-2534 |
| Sarah-anne Victoria Galloway | Nurse Practitioner | Banner Health Physicians West LLC | 1405 Howell Ave, Worland, WY 82401-4127 |
| Jeffery B Butte | General Surgery | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Kimberly Schindler | Nurse Practitioner | Banner Health Physicians West LLC | 201 14th St, Wheatland, WY 82201-3201 |
| Dallin L Bracken | Certified Registered Nurse Anesthetist (crna) | Banner Health Physicians West LLC | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Shantay Stallings | Physician Assistant | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Sameh G Abuerreish | Hematology/oncology | Banner Health Physicians West LLC | 1405 Howell Ave, Worland, WY 82401-4127 |
| Willard M Woods | Obstetrics/gynecology | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Joseph E Tritchler | Physician Assistant | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Geoffrey D Kraemer | Podiatry | Banner Health Physicians West LLC | 1405 Howell Ave, Worland, WY 82401-4127 |
| Street Address |
201 14TH ST |
| City | WHEATLAND |
| State | WY |
| Zip | 82201-3201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Eric Ward | Certified Registered Nurse Anesthetist (crna) | Platte County Memorial Hospital | 201 14th St, Wheatland, WY 82201-3201 |
| Charles D Ford | Emergency Medicine | Platte County Memorial Hospital | 201 14th St, Wheatland, WY 82201-3201 |
| Kimberly Schindler | Nurse Practitioner | Banner Health Physicians West LLC | 201 14th St, Wheatland, WY 82201-3201 |
| James W Hawley Jr. | Emergency Medicine | Platte County Memorial Hospital | 201 14th St, Wheatland, WY 82201-3201 |
| Lauri A Palmer | Family Medicine | Platte County Memorial Hospital | 201 14th St, Wheatland, WY 82201-3201 |
| Patrick A Robertson | Orthopedic Surgery | Memorial Hospital of Converse County | 201 14th St, Wheatland, WY 82201-3201 |
| Jeffrey A Cecil | Family Medicine | Platte County Memorial Hospital | 201 14th St, Wheatland, WY 82201-3201 |
| Aaron Mark Brown | General Surgery | Rural Physicians Group Pannu Pllc | 201 14th St, Wheatland, WY 82201-3201 |
| Haleema Fazal Harhara | Hospitalist | Platte County Memorial Hospital | 201 14th St, Wheatland, WY 82201-3201 |
| Steve P Peasley | Family Medicine | Platte County Memorial Hospital | 201 14th St, Wheatland, WY 82201-3201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Beauprez | Chiropractic | 1557 Oak St, Wheatland, WY 82201-2237 | |
| Saundra L Sluss | Physical Therapy | North Platte Physical Therapy Services Inc | 953 Walnut St, Wheatland, WY 82201-2666 |
| Whitney Balzan | Physical Therapy | North Platte Physical Therapy Services Inc | 953 Walnut St, Wheatland, WY 82201-2666 |
| Robert Mangus | Physical Therapy | North Platte Physical Therapy Services Inc | 953 Walnut St, Wheatland, WY 82201-2666 |
| Nikolai Breitkopf | Physical Therapy | North Platte Physical Therapy Services Inc | 953 Walnut St, Wheatland, WY 82201-2666 |
| Lisa E Cecil | Occupational Therapy | North Platte Physical Therapy Services Inc | 953 Walnut St, Wheatland, WY 82201-2666 |
| Jaime A Hazen | Optometry | 404 9th St, Wheatland, WY 82201-2910 | |
| Margarete J Loghry | Clinical Social Worker | Peak Wellness Center Inc | 1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 |
| Amy Johnson | Nurse Practitioner | Platte County Memorial Hospital | 201 14th St, Wheatland, WY 82201-3201 |
| Paul A Robertson | Certified Registered Nurse Anesthetist | Platte County Memorial Hospital | 201 14th St, Wheatland, WY 82201-3201 |
| Find all physicians in zip 82201 | |||
| City | WHEATLAND |
| Zip Code | 82201 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WHEATLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tanda E 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.