Active NPI
Guy H Hickman, MD
- Orthopaedic Surgery Physician
- Vero Beach, FL
National Provider Identifier
1003808098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME47745
- Practice address
- 1155 35TH LN
Suite 100
Vero Beach, FL 32960-6521 - Phone
- (772) 569-2330
- Fax
- (772) 569-2630
- NPI assigned
- Aug 17, 2005
- Last updated
- May 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME47745 | FL | Primary |
Addresses
Primary practice location
1155 35TH LN
Suite 100
Vero Beach, FL 32960-6521
Mailing address
1155 35TH LN
Ste 100
Vero Beach, FL 32960-6522
Phone (772) 569-2330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31192 | Other | FL | BCBS |
| 044017500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME47745 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vero Orthopaedics II PA | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Sebastian, FL
- NPI 1134441660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1003808098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 35TH LN",
"address_2": "STE 100",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606522",
"telephone_number": "772-569-2330",
"fax_number": "772-569-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 35TH LN",
"address_2": "SUITE 100",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606521",
"telephone_number": "772-569-2330",
"fax_number": "772-569-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "GUY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME47745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31192",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044017500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.