Jason Hicks is a Physician Assistant in Waconia, Minnesota. Jason Hicks practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason Hicks is 1306885033. The last update date is 2007-12-04.
Jason Hicks's current location address is 500 S Maple St, Waconia, Minnesota. You can contact this provider via phone number 9524422191. The mailing address for Jason Hicks is 500 S Maple St, Waconia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Hicks |
|---|---|
| Address | 500 S Maple St, Waconia, Minnesota |
| Phone Number | 9524422191 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1306885033 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-12-04 |
Provider Mailing Address Detail
| Address | 500 S Maple St |
|---|---|
| City | Waconia |
| State | Minnesota (MN) |
| Post Code | 553871752 |
| Phone Number | 9524422191 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9243 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36D52HI | BCBS | ||
| HP36290 | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jason Hicks?
The Jason Hicks has been issued the NPI (National Provider Identifier) 1306885033 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jason Hicks?
The Jason Hicks is physically situated at 500 S Maple St, in the city of Waconia, state of MN, with the postal code 553871752.
What is Jason Hicks's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason Hicks is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Jason Hicks receive the assignment of its 1306885033 from the Centers for Medicare & Medicaid Services?
The Jason Hicks was issued its 1306885033 by the Centers for Medicare & Medicaid Services on 2006-06-06.
As of what date was the information pertaining to Jason Hicks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason Hicks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-04.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN