Active NPI
Andrew Edward Hickey, MD
- Geriatric Medicine (Family Medicine) Physician
- Dallastown, PA
National Provider Identifier
1104855394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- MD01305E
- Practice address
- 445 S Pleasant Ave
Dallastown, PA 17313-2111 - Phone
- (717) 244-8627
- NPI assigned
- Jul 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD01305E | PA | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD01305E | PA | Primary |
Addresses
Primary practice location
445 S Pleasant Ave
Dallastown, PA 17313-2111
Mailing address
445 S Pleasant Ave
Dallastown, PA 17313-2111
Phone (717) 244-8627
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12739 | Other | PA | JOHNS HOPKINS |
| 998048 | Other | PA | UPMC |
| 000641857 | Medicaid | PA | |
| 76586 | Other | PA | GEISINGER |
| P004692 | Other | PA | GATEWAY-WMG |
| 191576 | Other | PA | HIGHMARK BLUE SHIELD |
| 5336310 | Other | PA | AETNA |
| 20005817 | Other | PA | AMERIHEALTH MERCY-WMG |
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 |
|---|---|---|---|
| MD01305E | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1104855394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 S PLEASANT AVE",
"city": "DALLASTOWN",
"state": "PA",
"postal_code": "173132111",
"telephone_number": "717-244-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S PLEASANT AVE",
"city": "DALLASTOWN",
"state": "PA",
"postal_code": "173132111",
"telephone_number": "717-244-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "ANDREW",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD01305E",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PA",
"license": "MD01305E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "12739",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "998048",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000641857",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "76586",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "P004692",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "191576",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5336310",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20005817",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallastown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.