Dr. Alfred K Hicks Jr., D.O.
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Middletown, CT. Individual provider (NPI-1).
NPI number1376744565
StatusActive
Last updated in NPPESJul 1, 2015
Details
- NPI
- 1376744565
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alfred K Hicks Jr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2007
- Last updated
- Jul 1, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORTHOPEDIC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 54330 | CT | Yes |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 02959 | KY | |
| 207X00000X | Orthopaedic Surgery | 02959 | KY | |
| 207X00000X | Orthopaedic Surgery | 240996 | NY | |
| 207X00000X | Orthopaedic Surgery | 54330 | CT | |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 16410 | NH |
Practice location
512 Saybrook RdSte 100
Middletown, CT 06457-4788
Phone 860-347-7636
Mailing address
512 Saybrook RdSte 100
Middletown, CT 06457-4788
Phone 860-347-7636
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