Healthcare Provider Details

I. General information

NPI: 1548869381
Provider Name (Legal Business Name): PINNACLE MEDICAL GROUP HICKS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5975 S LOS ALTOS PKWY
SPARKS NV
89436-7699
US

IV. Provider business mailing address

5975 S LOS ALTOS PKWY
SPARKS NV
89436-7699
US

V. Phone/Fax

Practice location:
  • Phone: 775-204-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD HICKS
Title or Position: PRESIDENT
Credential: MEDICAL DOCTOR
Phone: 775-204-4000