| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1417978776 | GROTHAUS | MATTHEW | C | 208 COLUMBUS ST | HICKSVILLE | OH | 435261299 | |
| 1770744617 | HAGGERTY | JOHNATHAN | ROBERT | 208 N COLUMBUS | HICKSVILLE | OH | 435267674 | |
| 1255990180 | KIMPEL | SAMANTHA | JO | 208 COLUMBUS ST | HICKSVILLE | OH | 435261250 |