Active NPI
Shawn Douglas Hicks, M.D., MSC
- Critical Care Medicine (Anesthesiology) Physician
- Pittsburgh, PA
National Provider Identifier
1457591471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- MT194194
- Practice address
- 3550 Terrace St
655 Scaif Hall
Pittsburgh, PA 15213-2500 - Phone
- (412) 647-6249
- Fax
- (412) 578-9340
- NPI assigned
- Mar 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | MT194194 | PA | Primary |
Addresses
Primary practice location
3550 Terrace St
655 Scaif Hall
Pittsburgh, PA 15213-2500
Mailing address
123 Echo Dr
Unit 207
Ottawa, ONTARIO K1S 1M9
CA
Phone (613) 233-9280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT194194 | PA | MD | Critical Care Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1457591471",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "123 ECHO DR",
"address_2": "UNIT 207",
"city": "OTTAWA",
"state": "ONTARIO",
"postal_code": "K1S 1M9",
"telephone_number": "613-233-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 TERRACE ST",
"address_2": "655 SCAIF HALL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132500",
"telephone_number": "412-647-6249",
"fax_number": "412-578-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "SHAWN",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D., MSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "PA",
"license": "MT194194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.