Ann E. Hickey, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Exeter, CA
NPI 1417909615 · NPPES record last updated Jul 14, 2015
Key facts
- NPI
- 1417909615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- G46361 (CA)
- Practice address
- 560 South Elberta Road
Exeter, CA 93221 - Phone
- (559) 334-8527
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G46361 | CA | MD | Cardiovascular Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G46361 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | G46361 | CA | Yes |
| Hospitalist Physician | 208M00000X | G46361 | CA |
Addresses
Primary practice location
560 South Elberta Road
Exeter, CA 93221
Mailing address
PO Box 1027
560 South Elberta Road
Exeter, CA 93221
Phone (559) 334-8527
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G463610 | Medicaid | CA |
Other providers in Exeter, CA
- Joan Hennes
- Erica Hernandez Saldana
- Anna Hernandez
- Leslee Heuer
- Robin H Heyde-McCoy
- Lisa Higgins
- Marcella J Hojnacki
- Brandi Holmes
- Susan Hostetter
- Torey Sue Ivanic
All providers in Exeter, CA · Cardiovascular Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.