Mark S Hickman, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G3461 Issued in TX

Practice address

598 N Union Ave
Suite 200
New Braunfels, TX 78130-4136

Phone

(830) 625-6259

Fax

(830) 625-6607

NPI assigned

Aug 31, 2006

Last updated

Oct 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark S Hickman MD PA

  • Surgery Physician
  • New Braunfels, TX
  • NPI 1750542601
  Authorized official Same address or phone
• BHS Specialty Network Inc

  dba Heart & Vascular Institute of Texas

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1427160118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE",
            "address_2": "SUITE 200",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304179",
            "telephone_number": "830-625-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE",
            "address_2": "SUITE 200",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304136",
            "telephone_number": "830-625-6259",
            "fax_number": "830-625-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G3461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020009056",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "7425494727813000000",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120477801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00D03K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Hester, PT, DPT
• Robin Bludau Hewes, LPC
• Sarahlyn Hewitt, RBT
• Amber Hickl
• Elizabeth Hickman
• Lori Ann Hickson, M.D.
• Shaina Hidalgo
• Paige Nowlin High
• Higher Living Chiropractic,LLC
• Jonathan Highsmith, PHD, ABPP-CN

• Surgery Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.

Verify at the official NPI Registry.