Christopher Mahood Hicks, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101036424 Issued in VA

Practice address

1802 Braeburn Dr
Suite 2130
Salem, VA 24153-7357

Phone

(540) 444-4670

Fax

(540) 444-4671

NPI assigned

Jan 31, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Chenault-Ostroff Urological Assoc LTD

  • Urology Physician
  • Chesapeake, VA
  • NPI 1578571238
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1598736142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21672",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180169",
            "telephone_number": "540-904-7534",
            "fax_number": "540-904-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "address_2": "SUITE 2130",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-444-4670",
            "fax_number": "540-444-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MAHOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101036424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Louise Henley, FNP
• James Allen Henry, MD
• Travis Herald, DPT
• Rebecca Lynn Herman, PHARMD
• Lucas Hess, DPT
• James Edward Hicks, D.C.
• Kimberly Walker Hicks, LPN
• Michael David Hicks, D.O.
• Natalie Hicks, PSYD
• Autumn Hiduskey, MS, OTR/L

• Urology Physician in Salem, VA
• Providers in Salem, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.