Peter G Hickox, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G86782 Issued in CA

Practice address

420 W Acacia St
Sutie 11
Stockton, CA 95203-2441

Phone

(209) 948-4098

Fax

(209) 948-2334

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1962401810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "SUITE 11",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-4098",
            "fax_number": "209-948-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "SUTIE 11",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-4098",
            "fax_number": "209-948-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKOX",
        "first_name": "PETER",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G86782",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G86782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G867820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "911803606",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Heu
• Monica Heung
• Devon Reckmeyer Hibbert, PSY.D.
• Danielle J Hibbitts, MS, MA, PSY. D
• Tanner Hickman
• Dejah Hicks
• Kristen Hicks
• Shiannah Hicks
• Thomas Hicks, SUDRC
• Rachel Dianne Hieb, DO

• Obstetrics & Gynecology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.