John C Hickey, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

014311 Issued in ME

Practice address

295C Kennedy Memorial Dr Ste 1
Waterville, ME 04901-4535

Phone

(207) 873-5437

Fax

(207) 872-6037

NPI assigned

Jul 6, 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

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnhickey@mgh.allscriptsdirect.net

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.

• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment NPD
• Mainegeneral Medical Center

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1477344976
  NPD
• Waterville Pediatrics PA

  • Pediatrics Physician
  • Waterville, ME
  • NPI 1790871994
  NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1902837701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295C KENNEDY MEMORIAL DR STE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014535",
            "telephone_number": "207-873-5437",
            "fax_number": "207-872-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295C KENNEDY MEMORIAL DR STE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014535",
            "telephone_number": "207-873-5437",
            "fax_number": "207-872-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "014311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Hendrickson, DO
• Aimee Herron, CCC-SLP
• Kellie Lee Hess, RN
• Christie L Hesseltine, LADC
• Audrey Marie Hibbard, RN-C
• Kathleen M Hickey, M.D.
• Lisa Hickey, LCSW
• Claudia B Hill, LCSW
• Kathryn J Hill
• Hoai-Nam Hoang, MD

• Pediatrics Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.