Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS RYAN HICKERNELL, MD
Active Sole ProprietorDR. THOMAS RYAN HICKERNELL, MD is a Sports Medicine (Orthopaedic) healthcare provider located in STAMFORD, Connecticut. NPI 1003259706 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · STAMFORD, CT
Registration Details
- NPI Number
- 1003259706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2013 (13.388426506698 yrs)
- Last Updated
- Oct 19, 2022
- Licenses
-
72658 (CT)72658 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
260 LONG RIDGE ROADSTAMFORD, CT, 069273720Browse CT providers · Browse ZIP 06927
- Phone
- 2037852579
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.