DR. EDSON CONRAD HICKS JR. MD
NPI 1407076201
Specialist in Phoenix, AZ

Q: What is Edson Hicks's NPI number?

The NPI number for Edson Hicks is 1407076201. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Q: What is Edson Hicks's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Edson Hicks was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2007

4221 E CHANDLER BLVD STE 119, PHOENIX, AZ 85048(480) 223-1901(480) 393-6930 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Edson Conrad Hicks Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDSON CONRAD HICKS JR. MD (NPI 1407076201) is an individual specialist in Phoenix, Arizona, licensed in Arizona (29616) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1407076201

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. EDSON CONRAD HICKS JR.Credential: MD

Location Address4221 E CHANDLER BLVD STE 119Phoenix, AZ 85048-8878

Mailing AddressPo Box 12293Casa Grande, AZ 85230-2293 · (480) 223-1901

Phone(480) 223-1901

Fax(480) 393-6930

Sole ProprietorYes

Enumeration DateApril 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407076201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 29616

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4221 E CHANDLER BLVD STE 119, Phoenix, AZ 85048

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Other Identifiers 1

Medicare UPINE62686AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edson Hicks's NPI number?

The NPI number for Edson Hicks is 1407076201. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Edson Hicks located?

Edson Hicks practices at 4221 E Chandler Blvd Ste 119, Phoenix, AZ 85048. The listed phone number is (480) 223-1901.

What is Edson Hicks's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Edson Hicks was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.