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DR. DERRICK GERARD HICKEY MD NPI 1356376289


NPI Information

NPI: 1356376289
Provider Name: DR. DERRICK GERARD HICKEY, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Organization: GUTHRIE MEDICAL GROUP PC

PECOS Registration: Yes

Address:
5305 WRIGHTSVILLE AVE STE H
WILMINGTON, NC
ZIP 28403
Phone: (910) 791-4492
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DR. Derrick Gerard Hickey, MD is an orthopaedic surgery in Wilmington, NC with 28 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Derrick Gerard Hickey, MD NPI is 1356376289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

5305 WRIGHTSVILLE AVE STE H
WILMINGTON, NC
ZIP 28403-507
Phone: (910) 791-4492
Fax: (844) 292-2339

The NPI 1356376289 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 12/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0106XOrthopaedic SurgeryHand Surgery200201100NORTH CAROLINANo
2207X00000XOrthopaedic Surgery200201100NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11132227OTHERCIGNA
2134C0OTHERNORTH CAROLINABCBS
37107507OTHERAETNA
4189631OTHERMEDCOST
589134C0MEDICAIDNORTH CAROLINA
6P00341370OTHERMEDICARE RAILROAD
72321012OTHERUNITED HEALTH CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.