GREGORY D HICKS M.D. P.A-PLASTIC & RECONSRUCTIVE SURGERY NPI 1396819462

NPI Information

  • NPI: 1396819462
  • Provider Name: GREGORY D HICKS M.D. P.A-PLASTIC & RECONSRUCTIVE SURGERY
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: PROFESSIONAL PLASTIC SURGERY CENTER
  • Address: 3801 BEE RIDGE ROAD
    SUITE 1
    SARASOTA, FL
    ZIP 34233
  • Phone: (941) 925-3633

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NPI Details

GREGORY D HICKS M.D. P.A-PLASTIC & RECONSRUCTIVE SURGERY is a pediatrics in Sarasota, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GREGORY D HICKS M.D. P.A-PLASTIC & RECONSRUCTIVE SURGERY NPI is 1396819462. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Professional Plastic Surgery Center.

The provider's business location address is:

3801 BEE RIDGE ROAD
SUITE 1
SARASOTA, FL
ZIP 34233
Phone: (941) 925-3633
Fax: (941) 925-1435

The provider's authorized official is Gregory D Hieles .
The authorized official title is President and has the following contact phone number (941) 925-3633.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsME42730FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110121MEDICARE ID-TYPE UNSPECIFIED
2T54784MEDICARE UPIN
30634409-00MEDICAIDFLORIDA

What is NPI?

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This page was last updated on: 11/21/2025

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