Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407076201 Individual Practitioner Male Practitioner

Dr. Edson Conrad Hicks , MD

Specialist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Edson Hicks, MD is a registered healthcare professional specializing in Specialist in Phoenix, AZ. Practice services are available at 4221 E CHANDLER BLVD STE 119 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4221 E Chandler Blvd Ste 119

Phoenix, AZ 850488878

Telephone 4802231901
Fax 4803936930

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.2 Yrs
State Avg: 35.9 Yrs
Regional Practice Density
196 Specialists

Practicing in Phoenix, AZ (826 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 29616

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4221 E CHANDLER BLVD STE 119, PHOENIX, AZ 850488878 (Tel: 4802231901)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 12293, CASA GRANDE, AZ 852302293 (Tel: 4802231901)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDSON HICKS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #29616 in AZ)

🟢
Initial NPI Registration & Enumeration April 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407076201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 12293

Casa Grande, AZ 852302293

Phone: 4802231901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.