Shari Hicks-Graham, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

3586908 Issued in OH

Practice address

393 E Town St
Suite 229
Columbus, OH 43215-4741

Phone

(614) 224-4566

Fax

(614) 224-6046

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shari Philana Hicks Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Pittsburgh School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Downtown Dermatology LLCGroup PAC ID 1951487263, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shicksgraham808958@direct.ochin.org

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.

• Downtown Dermatology LLC

  • Specialist
  • Columbus, OH
  • NPI 1598940942
  Medicare reassignment Care Compare group Authorized official
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Circleville, OH
  • NPI 1578985453
  Medicare reassignment NPD
• Lower Lights Christian Health Center, Inc.

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1033455209
  Medicare reassignment NPD
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1710310594
  NPD
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1881756526
  NPD
• Columbus Neighborhood Health Center, Inc.

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1346304151
  NPD
• Lower Lights Christian Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1043891153
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Newark, OH
  • NPI 1700549755
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1992460950
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1992468938
  NPD
• Lower Lights Christian Health Center, Inc

  dba Union Star Health Center

  • Primary Care Clinic/Center
  • Marysville, OH
  • NPI 1699114108
  NPD
• Lower Lights Christian Health Center, Inc

  dba German Village Health Center

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1841611688
  NPD

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467531236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E TOWN ST",
            "address_2": "SUITE 229",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154741",
            "telephone_number": "614-224-4566",
            "fax_number": "614-224-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E TOWN ST",
            "address_2": "SUITE 229",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154741",
            "telephone_number": "614-224-4566",
            "fax_number": "614-224-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS-GRAHAM",
        "first_name": "SHARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "3586908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARI",
            "last_name": "HICKS",
            "middle_name": "PHILANA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle G Hickman, PA-C
• Kyle Ryan Hickman, DDS
• Marcia Hickman
• Rosanne Hickman, RN, BSN, MA, LPC
• Zachary Hickman
• Adrienne Shawnta Hicks, MBA
• Andrew J. Hicks, APRN.CRNA
• Ashley A Hicks, LMFT
• Ashley Marie Hicks
• Christopher Hicks

• Dermatology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.