John Burris Hicks III, M.D.

Primary specialty

Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X

License

S9702 Issued in TX

Practice address

13340 Highland Hills Dr Ste 112
Aledo, TX 76008-2000

Phone

(682) 303-3000

Fax

(682) 303-3026

NPI assigned

Apr 3, 2016

Last updated

May 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhicks166367@cookchildrens.direct-ci.com

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.

• Cook Children's Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1750369203
  Medicare reassignment NPD
• Cook Children's Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1083472062
  NPD
• University Hospitals Cleveland Medical Center

  dba Bolwell Health Center Pharmacy

  • Community/Retail Pharmacy
  • Cleveland, OH
  • NPI 1952488108
  NPD (past)
• University Primary Care Practices Inc

  dba Center for Orthopedics

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1073976346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 HIGHLAND HILLS DR STE 112",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760082000",
            "telephone_number": "682-303-3000",
            "fax_number": "682-303-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JOHN",
        "middle_name": "BURRIS",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-03",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.136410",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "TX",
            "license": "S9702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnhicks@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "18181 Pearl Rd Ste A200",
            "city": "Strongsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441366953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnhicks@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5901 E Royalton Rd Ste 2100",
            "city": "Broadview Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441473532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhicks166367@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "13340 Highland Hills Dr Ste 112",
            "city": "Aledo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760082000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jalissa Harkins
• Jennifer Gail Harr, OTR
• Gary Lindley Hawkins II, P.A.-C
• Helping Hands Support Services LLC
• Andrea Hendrickson
• Highbury Counseling PLLC
• Kaley Hill
• Kimberly A Hilmer, FNP
• Michael Jude Hinz
• Chelsea Brianne Holle, RDH

• Pediatric Sports Medicine Physician in Aledo, TX
• Providers in Aledo, TX by specialty
• Pediatric Sports Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.