Gregory D Hicks M.D. P.a-Plastic & Reconsructive Surgery

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME42730 Issued in FL

Legal business name

GREGORY D HICKS M.D. P.A-PLASTIC & RECONSRUCTIVE SURGERY

Doing business as

Professional Plastic surgery center

Practice address

3801 Bee Ridge Road
Suite 1
Sarasota, FL 34233

Phone

(941) 925-3633

Fax

(941) 925-1435

NPI assigned

Nov 20, 2006

Last updated

Jul 2, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory D Hieles, MD

Title

President

Phone

(941) 925-3633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Plastic surgery center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1396819462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BEE RIDGE ROAD",
            "address_2": "SUITE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-925-3633",
            "fax_number": "941-925-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BEE RIDGE ROAD",
            "address_2": "SUITE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-925-3633",
            "fax_number": "941-925-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D HICKS M.D. P.A-PLASTIC & RECONSRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HIELES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-925-3633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME42730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634409-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Plastic surgery center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greenview Support Services LLC
• Mark J Greenwald, DDS
• Rebekah Greer
• Stacy Lynn Greeter, M.D
• Carol Gregg, RN, IBCLC
• Gregory Logan DC, PA
• Gregory S Rotole DDS PA
• Cameron Gregory
• Dawnell Gregory, ARNP
• Medina H Gregory, DO

• Pediatrics Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.