DR. DONN MICHAEL HICKMAN M.D. - NPI 1508085655 - Specialist in Long Beach, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

On this page

About Dr. Donn Michael Hickman M.d. NPPES

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

DR. DONN MICHAEL HICKMAN M.D. (NPI 1508085655) is an individual specialist in Long Beach, California, licensed in California (G034964) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508085655

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. DONN MICHAEL HICKMANCredential: M.D.

Location Address4401 ATLANTIC AVE STE 101Long Beach, CA 90807-2260

Mailing Address920 E Wardlow RdLong Beach, CA 90807-4630 · (562) 988-0365 · Fax (562) 427-4086

Phone(562) 422-5902

Fax(562) 422-6014

Sole ProprietorYes

Enumeration DateApril 25, 2007

Last NPPES UpdateAugust 11, 2016

✔ NPI 1508085655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G034964

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.

4401 ATLANTIC AVE STE 101, Long Beach, CA 90807

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donn Michael Hickman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARE FIRST COMMUNITY MEDICAL INC

Obstetrics & Gynecology (Gynecology)