High Desert Family Medicine Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7996 Issued in NV

Legal business name

HIGH DESERT FAMILY MEDICINE INC.

Practice address

2345 E Prater Way
Ste. 301
Sparks, NV 89434-9600

Phone

(775) 352-3520

Fax

(775) 352-3523

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Ronald B Hicks II, MD

Title

Owner

Phone

(775) 352-3520

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1235369646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "address_2": "STE. 301",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349600",
            "telephone_number": "775-352-3520",
            "fax_number": "775-352-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "address_2": "STE. 301",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349600",
            "telephone_number": "775-352-3520",
            "fax_number": "775-352-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT FAMILY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-352-3520",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326044520",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "1235369646",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Christan Herzberg
• Ashleigh Suzanne Heuer
• Ronald B. Hicks II, MD
• Michelle Gilmore Higgins, MPT
• Shannon Higgins
• Constance Evette Hightower, LCSW
• Henry Jason Hilario, PMHNP-BC
• Hill-Rom Company, Inc
• Angela Hiller, LCSW
• Julie Christine Hills

• Family Medicine Physician in Sparks, NV
• Providers in Sparks, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.