Clifton C Hickman, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101033277 Issued in VA

Practice address

161 Wadsworth Dr
Richmond, VA 23236-4500

Phone

(804) 484-3702

Fax

(804) 320-6462

NPI assigned

Mar 14, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: clifton.hickman.1@21022.direct.athenahealth.com

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1972571198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WADSWORTH DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232364500",
            "telephone_number": "804-484-3702",
            "fax_number": "804-320-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WADSWORTH DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232364500",
            "telephone_number": "804-484-3702",
            "fax_number": "804-320-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "CLIFTON",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101033277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010171431",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Aliene Hickam Retter, MD
• Becky Rotz Hickey, PA
• Kenneth S Hickey, M.D.
• Maureen O'Brien Hickey, PHARMD
• Allison J Hickman, DO
• Derwin L Hickman Sr., M. DIV, QMHP-C
• Kristen Robertson Hicks, MPT
• Rasha Hicks
• Sarah Stephenson Hicks
• Selena Hicks, MA, ATR-BC, ITR-CTS

• Otolaryngology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.