Active NPI
George William Hicks, M.D.
- Otology & Neurotology Physician
- Indianapolis, IN
National Provider Identifier
1487657185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 01026461A
- Practice address
- 7440 N Shadeland Ave
Ste 150
Indianapolis, IN 46250-2095 - Phone
- (317) 842-4901
- Fax
- (317) 842-4393
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 01026461A | IN | Primary |
Addresses
Primary practice location
7440 N Shadeland Ave
Ste 150
Indianapolis, IN 46250-2095
Mailing address
7440 N Shadeland Ave
Ste 150
Indianapolis, IN 46250-2095
Phone (317) 842-4901
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000091198 | Other | IN | ANTHEM PROVIDER NUMBER |
| 211177 | Other | IN | HEALTHLINK PROVIDER NUMBE |
| 1028041 | Other | IN | CIGNA PROVIDER NUMBER |
| 4004243 | Other | IN | AETNA PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026461A | IN | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487657185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7440 N SHADELAND AVE",
"address_2": "STE 150",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502095",
"telephone_number": "317-842-4901",
"fax_number": "317-842-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 N SHADELAND AVE",
"address_2": "STE 150",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502095",
"telephone_number": "317-842-4901",
"fax_number": "317-842-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "GEORGE",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "IN",
"license": "01026461A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000091198",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PROVIDER NUMBE",
"identifier": "211177",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "1028041",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4004243",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.