Active NPI
Allison Hickman, D.O.
- Pediatrics Physician
- Waynesboro, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS015356
- Practice address
- 45 Roadside Ave FRNT
Waynesboro, PA 17268-2543 - Phone
- (717) 387-3860
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS015356 | PA | Primary |
Addresses
Primary practice location
45 Roadside Ave FRNT
Waynesboro, PA 17268-2543
Mailing address
111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160817002273 | PA | Practitioner - Pediatric Medicine | 5799070678 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS015356 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Rural Health Center | Current | Accepting new patients | |
| Keystone Rural Health Center | Current | Accepting new patients | |
| Keystone Rural Health Center | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900
511 S 6th St
Chambersburg, PA 17201
Phone (717) 709-7956
22 St Paul Dr
Ste 200
Chambersburg, PA 17201
Phone 71770979227985
830 5th Ave
Ste 103
Chambersburg, PA 17201
Phone (717) 263-0550
820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313
45 Roadside Ave
Frnt
Waynesboro, PA 17268
Phone (717) 387-3860
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1538166905
PA
-
- Community/Retail Pharmacy
- Chambersburg, PA
- NPI 1053105288
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1063879286
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1154584340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CHAMBERS HILL DR STE 200",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172017304",
"telephone_number": "717-709-7922",
"fax_number": "717-263-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 ROADSIDE AVE FRNT",
"city": "WAYNESBORO",
"state": "PA",
"postal_code": "172682543",
"telephone_number": "717-387-3860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "ALLISON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS015356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.