Stephen a. Hickner, M.D., LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

TL1524 Issued in WY

Legal business name

STEPHEN A. HICKNER, M.D., LLC

Practice address

8160 Highway 789
Lander, WY 82520-2953

Phone

(616) 633-8628

NPI assigned

Mar 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Andrew Hickner, M.D.

Title

Registered Agent

Phone

(616) 633-8628

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1003115577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202953",
            "telephone_number": "616-633-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202953",
            "telephone_number": "616-633-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. HICKNER, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "HICKNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "616-633-8628",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "TL1524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Burke Stange, MLT
• State of Wyoming
• State of Wyoming
• State of Wyoming
• Heidi Stearns, CNM
• Trevor William Stephen
• Cindy Kay Stephenson
• Erica Ann Strandberg, DO
• Todd Robert Sutton, D.D.S.
• Michael R. Swenson, M.D.

• Obstetrics & Gynecology Physician in Lander, WY
• Providers in Lander, WY by specialty
• Obstetrics & Gynecology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.