Stephen T. Hickey, M.D., P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME0055724 Issued in FL

Legal business name

STEPHEN T. HICKEY, M.D., P.A.

Practice address

335 11TH Ave N
Jacksonville Beach, FL 32250-7251

Phone

(904) 242-0422

Fax

(904) 242-0241

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Hickey, R.N.

Title

Doctor'S Wife

Phone

(904) 242-0422

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy D Lucey, D.O.

  • Neurology Physician
  • Fernandina Beach, FL
  • NPI 1811057318
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1801076112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 11TH AVE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507251",
            "telephone_number": "904-242-0422",
            "fax_number": "904-242-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 11TH AVE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507251",
            "telephone_number": "904-242-0422",
            "fax_number": "904-242-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN T. HICKEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "DOCTOR'S WIFE",
        "authorized_official_telephone_number": "904-242-0422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0055724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim St Clair Seals
• Grace Stec
• Lorri Steinemann, MS, CCC-SLP
• Stephanie S Billman, LPC, PC
• Stephen E. Grable, M.D., P.a.
• Candice Page Ster, LCSW, CAP, BCABA
• Cynthia P Stevens, PH.D.
• Jennifer Susan Stockwell, RN
• Stop, Inc.
• Stormy Seas Coaching and Counseling, LLC

• Neurology Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.