Johnny D Hickson IIi
Urology

Address: 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039
Phone: 4057499655

Johnny D Hickson IIi (NPI# 1528295755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1528295755
Entity Type Individual
Full Name Johnny D Hickson IIi
Credential M.D.
Gender Male
Practice Address 11000 Hefner Pointe Dr
Oklahoma City
OK 73120-5039
Practice Telephone 4057499655
Practice Fax Number 4057491001
Mailing Address 11000 Hefner Pointe Dr
Oklahoma City
OK 73120-5039
Mailing Telephone 4057499655
Mailing Fax Number 4057491001
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2009-06-15
Last Update Date 2015-02-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208800000X Urology Allopathic & Osteopathic Physicians 30411 OK

Physician Overview

NPI 1528295755
PAC ID by PECOS 8921223801
Professional Enrollment ID I20140709001051
Full Name Johnny Hickson
Organization Legal Name UROLOGY ASSOCIATES, INC.
Phone Number 4057499655
Gender M
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 2009
Primary Specialty UROLOGY
Group Practice PAC ID 5395763064
Number of Group Practice Members 8
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370032 ALLIANCEHEALTH DEACONESS
370236 INTEGRIS HEALTH EDMOND
370192 NORTHWEST SURGICAL HOSPITAL
370220 ONECORE HEALTH
370203 COMMUNITY HOSPITAL, LLC

Office Location

Street Address 11000 HEFNER POINTE DR
City OKLAHOMA CITY
State OK
Zip Code 73120-5039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427058809 Kristi Michelle Parker Physician Assistant 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2005-07-28
1174884886 Aaron Benham Urology 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2012-05-30
1811283161 Charles T Snyder Urology 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2011-06-24
1013948454 Barbara L Voss-alvarez Urology 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2006-07-05
1710914718 Natalie A Esparza Urology 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2006-06-26
1861429052 Daniel P Barnes Urology 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2006-06-26
1639114507 Donald Glen Coles Urology 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2006-06-17
1659313252 Urology Associates, Inc. Urology 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2006-06-11
1174565709 Jesse Samuel Little Jr. Urology 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2006-06-11
1346282977 Nicholas J Pappas Urology 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 2006-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396218152 Summer Smith Therapy Social Worker 11209 N May Ave Ste B, Oklahoma City, OK 73120 2019-01-04
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
1568999498 Tabitha Lynn Arias Dentist 11900 N Pennsylvania Ave Ste A1, Oklahoma City, OK 73120 2017-05-23
1861928905 The Laughing Shark, Inc. Counselor 11212 N May Ave Ste 107, Oklahoma City, OK 73120 2017-05-11
1013459239 Hefner Chiropractic Pllc Chiropractor 2236 W Hefner Rd, Suite 200, Oklahoma City, OK 73120 2016-11-07
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851877567 Richard E. Herlihy Md, PC Urology 4140 W Memorial Rd Ste 611, Oklahoma City, OK 73120-8300 2018-07-16
1306383849 Urology Affiliates of Oklahoma LLC Urology 5300 N Grand Blvd Ste 200, Oklahoma City, OK 73112-5517 2017-01-23
1992055990 Kathryn Griffin Cunningham Urology 4140 W Memorial Rd Ste 208, Oklahoma City, OK 73120 2012-09-17
1730449216 Ahmed Eldefrawy Urology 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK 73104 2012-05-18
1477847374 Bhalaajee Meenakshi-sundaram Urology 1200 Childrens Ave # 7d, Oklahoma City, OK 73104 2011-06-08
1093959785 Sanjay Govind Patel Urology 800 Ne 10th St Ste 4300, Oklahoma City, OK 73104-5418 2009-04-24
1952541690 Sardar Mohammad Farhan Khan Galzie Urology 608 Nw 9th St Ste 5000, Oklahoma City, OK 73102-1018 2009-02-20
1902043086 Urology Surgeons of Oklahoma PC Urology 4200 W Memorial Rd Ste 501, Oklahoma City, OK 73120-8359 2009-01-12
1275739856 Jonathan Edward Heinlen Urology 825 Ne 10th St Ste 5f, Oklahoma City, OK 73104-5417 2007-06-21
1154525640 Kelly Lynn Stratton Urology 800 Ne 10th, Suite 4300, Oklahoma City, OK 73104 2007-06-11
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Competitor

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City OKLAHOMA CITY
Zip Code 73120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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