Active NPI
Hicks Healthcare Center for Women
- Obstetrics & Gynecology Physician
- Canton, MS
National Provider Identifier
1750605002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- HICKS HEALTHCARE CENTER FOR WOMEN
- Practice address
- 1883 Highway 43 S
Suite F
Canton, MS 39046-8405 - Phone
- (601) 859-5455
- Fax
- (601) 859-5459
- NPI assigned
- Mar 16, 2010
- Last updated
- Nov 27, 2012
- Organization subpart
- Yes
- Parent organization
- MADISON HMA PHYSICIAN SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael L Gingras
- Title
- Vice President
- Phone
- (239) 598-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1883 Highway 43 S
Suite F
Canton, MS 39046-8405
Mailing address
5811 Pelican Bay Blvd
Suite 500
Naples, FL 34108-2733
Phone (239) 598-3131
National Provider Directory
National Provider Directory- Part of
- Madison Hma Phys MGMT SVCS
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Richland, MS
- NPI 1376555045
-
- Cardiovascular Disease Physician
- Madison, MS
- NPI 1396701553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353974400000",
"number": "1750605002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 PELICAN BAY BLVD",
"address_2": "SUITE 500",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082733",
"telephone_number": "239-598-3131",
"fax_number": "239-592-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1883 HIGHWAY 43 S",
"address_2": "SUITE F",
"city": "CANTON",
"state": "MS",
"postal_code": "390468405",
"telephone_number": "601-859-5455",
"fax_number": "601-859-5459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HICKS HEALTHCARE CENTER FOR WOMEN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MADISON HMA PHYSICIAN SERVICES, LLC",
"enumeration_date": "2010-03-16",
"last_updated": "2012-11-27",
"status": "A",
"authorized_official_last_name": "GINGRAS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "239-598-3131",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.