Organization Active NPI

Hicks Healthcare Center for Women

  • Obstetrics & Gynecology Physician
  • Canton, MS
National Provider Identifier
1750605002
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MADISON HMA PHYSICIAN SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.