Active NPI
Donald K Hickey, M.D.
- Family Medicine Physician
- Toledo, OH
National Provider Identifier
1740286558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35045099
- Practice address
- 3333 Glendale Ave.
Toledo, OH 43614 - Phone
- (419) 383-5555
- Fax
- (419) 383-3113
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35045099 | OH | Primary |
Addresses
Primary practice location
3333 Glendale Ave.
Toledo, OH 43614
Mailing address
3355 Glendale Ave.
3Rd Floor
Toledo, OH 43614-2426
Phone (419) 383-5555
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141974 | Other | OH | CARE CHOICES |
| 000000296936 | Other | OH | ANTHEM-CHS |
| 4203593 | Other | OH | AETNA |
| 000000030538 | Other | OH | ANTHEM MEDICAID WWK |
| 002985 | Other | OH | NATIONWIDE |
| 01-04066 | Other | OH | UNITED |
| 7244 | Other | MI | HPM |
| 9564035002 | Other | OH | CIGNA |
| 000000030538 | Other | OH | ANTHEM-WWK- |
| 000000200605 | Other | OH | ANTHEM MEDICAID CHS |
| H587370 | Other | OH | UTP MEDICARE PIN |
| 0540392 | Medicaid | OH | |
| 344428256079 | Other | OH | CARESOURCES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35045099 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1740286558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 GLENDALE AVE.",
"address_2": "3RD FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142426",
"telephone_number": "419-383-5555",
"fax_number": "419-383-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 GLENDALE AVE.",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43614",
"telephone_number": "419-383-5555",
"fax_number": "419-383-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "DONALD",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35045099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "141974",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-CHS",
"identifier": "000000296936",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4203593",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MEDICAID WWK",
"identifier": "000000030538",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "002985",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "01-04066",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPM",
"identifier": "7244",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9564035002",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-WWK-",
"identifier": "000000030538",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MEDICAID CHS",
"identifier": "000000200605",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTP MEDICARE PIN",
"identifier": "H587370",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0540392",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCES",
"identifier": "344428256079",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.