Hickman Mills Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HICKMAN MILLS CLINIC, INC.

Practice address

11201 Colorado Ave
Kansas City, MO 64137-2502

Phone

(816) 763-5200

Fax

(816) 763-7124

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

Donald D Palmer

Title

Administrator

Phone

(816) 763-5200

Specialties & licenses 1

Addresses

Tax ID family

Hickman Mills Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Retired

  • Medical Specialty Clinic/Center
  • Hallsville, MO
  • NPI 1962818435
  NPD tax ID

Locations

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073583373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 COLORADO AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641372502",
            "telephone_number": "816-763-5200",
            "fax_number": "816-763-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 COLORADO AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641372502",
            "telephone_number": "816-763-5200",
            "fax_number": "816-763-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKMAN MILLS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-763-5200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawyer Hickey, MD
• Hickman Millls C-1 School District
• Hickman Mills C-1 School District
• Hickman Mills C-1 School District
• Hickman Mills C-I School District
• Amanda E. Hickman, D.C.
• Brandi Janelle Hickman
• Dianna Lynn Hickman, M.D.
• Kristin Marie Hickman, NP
• Wendy Hickman, LCSW

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.