Active NPI
Robert Hickson
- Certified Registered Nurse Anesthetist
- Ocean Springs, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R529613
- Practice address
- 3109 Bienville Blvd
Ocean Springs, MS 39564-4361 - Phone
- (228) 818-1111
- NPI assigned
- Feb 23, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R529613 | MS | Primary |
Addresses
Primary practice location
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RDH00016433 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current | Accepting new patients | |
| Champion Anesthesia Consultants, PLLC | Current | Accepting new patients | |
| Jackson County Anesthesia | Current | Accepting new patients |
Locations
1720B Medical Park Dr
Biloxi, MS 39532
Phone (228) 396-9161
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2406 Catalpa Ave
Pascagoula, MS 39567
Phone (228) 202-1006
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1922159219
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851426175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HIGHWAY 90",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395644361",
"telephone_number": "228-818-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKSON",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R529613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RDH00016433",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.