HOMER DAVID HICKEY M.D. NPI 1114985272

NPI Information

NPI: 1114985272
Provider Name: HOMER DAVID HICKEY, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
1325 WOLF PARK DR
SUITE 102
GERMANTOWN, TN
ZIP 38138
Phone: (901) 252-3400
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Homer David Hickey, M.D. is an urology in Germantown, TN. The provider is 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. Homer David Hickey, M.D. NPI is 1114985272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1325 WOLF PARK DR
SUITE 102
GERMANTOWN, TN
ZIP 38138-742
Phone: (901) 252-3400
Fax: (901) 682-0047

The enumeration date for this NPI number is 5/1/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		05554	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3153875	OTHER		ALL OTHER TENNCARE PLANS
2	2005835	OTHER		BLUE CROSS TN
3	211159	OTHER		SOUTHERN HEALTH SERVICES
4	D68954	MEDICARE UPIN
5	02110025700	OTHER		QUAL CHOICE
6	770396	OTHER		FIRST HEALTH
7	6107353	OTHER		CIGNA
8	381844	OTHER		HEALTH LINK
9	12939795	OTHER		PHCS
10	2005835	OTHER		TENNCARE SELECT
11	3153873	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
12	4664755	OTHER		AETNA
13	12939795	OTHER		HEALTH ASSURANCE EPA
14	3153875	MEDICAID	TENNESSEE
15	92802	OTHER		BLUE CROSS AR

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: 4/28/2024

NPI Synchronization or Removal

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