Organization Active NPI

Dr. Hickham and Associates a.P.M.C.

  • Otolaryngology Physician
  • Metairie, LA
National Provider Identifier
1124072376
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
DR. HICKHAM AND ASSOCIATES A.P.M.C.
Practice address
3019 N Arnoult Rd
Metairie, LA 70002-4714
Phone
(504) 889-5335
Fax
(504) 889-5451
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Clare Collier
Title
Office Admin
Phone
(252) 938-1868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X LA Primary

Addresses

Primary practice location

3019 N Arnoult Rd
Metairie, LA 70002-4714

Mailing address

3019 N Arnoult Rd
Metairie, LA 70002-4714
Phone (504) 889-5335

Other identifiers 2

IdentifierTypeStateIssuer
1442828MedicaidLA
CJ4442OtherLAMEDICARE RAILRAOD

Other names 1

  • ENT Specialists of Metairie Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601000331 LA Part B Supplier - Clinic/Group Practice 2961444872 Receives reassigned benefits from 6 practitioners
Practice locations: Laplace, LA; Metairie, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0999444ENT Specialists of Metairie3019 N Arnoult Rd, Metairie, LA 70002Certificate of waiverMay 13, 2028

National Provider Directory

National Provider Directory

Locations

501 Rue de Sante
Ste 3
La Place, LA 70068
Phone (504) 782-3849

4315 Houma Blvd
Ste 401
Metairie, LA 70006
Phone (504) 503-5123

3019 N Arnoult Rd
#M
Metairie, LA 70002
Phone (504) 889-5335

3019 N Arnoult Rd
Metairie, LA 70002
Phone (504) 889-5335

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1124072376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 N ARNOULT RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024714",
            "telephone_number": "504-889-5335",
            "fax_number": "504-889-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 N ARNOULT RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024714",
            "telephone_number": "504-889-5335",
            "fax_number": "504-889-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HICKHAM AND ASSOCIATES A.P.M.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "CLARE",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "252-938-1868"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442828",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILRAOD",
            "identifier": "CJ4442",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT Specialists of Metairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.