Maranda Hickey (NPI# 1255813879, PAC ID# 8628316163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255813879 |
| PAC ID by PECOS | 8628316163 |
| Professional Enrollment ID | I20190208000700 |
| Full Name | Maranda Hickey |
| Organization Legal Name | JOHNSON REGIONAL MEDICAL CENTER |
| Address |
1100 E Poplar St A Clarksville AR 72830-4419 |
| Phone Number | 4797545454 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1658360284 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040002 | JOHNSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 E Poplar St A, Clarksville, AR 72830-4419 | 4797545454 | JOHNSON REGIONAL MEDICAL CENTER |
| Organization Legal Name | JOHNSON REGIONAL MEDICAL CENTER |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Michelle Branch | Nurse Practitioner | Johnson Regional Medical Center | 1100 E Poplar, Clarksville, AR 72830-4419 |
| Ma-ko Chen | Physical Medicine and Rehabilitation | Johnson Regional Medical Center | 1100 E Poplar C, Jrmc Provider Based Physicians, Clarksville, AR 72830-4419 |
| Jim L Clasen | Certified Registered Nurse Anesthetist (crna) | Johnson Regional Medical Center | 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419 |
| Joann Meyer | Ophthalmology | Johnson Regional Medical Center | 2 Medicine Dr, Clarksville, AR 72830-4431 |
| Rolando L Cheng | Orthopedic Surgery | Johnson Regional Medical Center | 1 Medicine Dr, Clarksville, AR 72830-4431 |
| Kevin Meyer | General Surgery | Johnson Regional Medical Center | 2 Medicine Dr, Clarksville, AR 72830-4431 |
| Kate Gazenko | General Surgery | Johnson Regional Medical Center | 2 Medicine Dr, Clarksville, AR 72830-4431 |
| Steven D Hill | Certified Registered Nurse Anesthetist (crna) | Johnson Regional Medical Center | 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419 |
| Manuel A Warrior Jr. | Certified Registered Nurse Anesthetist (crna) | Johnson Regional Medical Center | 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419 |
| Shannon L. Case | Obstetrics/gynecology | Johnson Regional Medical Center | 1100 E Poplar St A, Clarksville, AR 72830-4419 |
| Street Address |
1100 E POPLAR ST A |
| City | CLARKSVILLE |
| State | AR |
| Zip | 72830-4419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon L. Case | Obstetrics/gynecology | Johnson Regional Medical Center | 1100 E Poplar St A, Clarksville, AR 72830-4419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca King | Optometry | 210 W Main St, Clarksville, AR 72830-3019 | |
| Richard L Mcdougal | Ophthalmology | 709 W Main St, Clarksville, AR 72830-3410 | |
| Ashley N Gattis | Nurse Practitioner | River Valley Primary Care Services | 708 W Main St, Clarksville, AR 72830-3411 |
| Susan K Gateley | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Catherine S Miranda | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Mary Janell Burch | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Jess E Jordan | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| John C Dunham | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Sarah M Woodruff | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Consuella R Flurry | Physical Therapy | 112 S Fulton St, Clarksville, AR 72830-3612 | |
| Find all physicians in zip 72830 | |||
| City | CLARKSVILLE |
| Zip Code | 72830 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLARKSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Maranda Hickey.
| 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.