PROFESSIONAL PLASTIC SURGERY CENTER – NPI #1396819462
Pediatrics

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.

PROFESSIONAL PLASTIC SURGERY CENTER is a provider located in SARASOTA, FL. NPPES has assigned the NPI number 1396819462 to PROFESSIONAL PLASTIC SURGERY CENTER on November 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROFESSIONAL PLASTIC SURGERY CENTER” is a dba name, the actual legal business name for this organization is GREGORY D HICKS M.D. P.A-PLASTIC & RECONSRUCTIVE SURGERY. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 18 years ago on Jul 02, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROFESSIONAL PLASTIC SURGERY CENTER below.

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

NPI Number
1396819462
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREGORY D HICKS M.D. P.A-PLASTIC & RECONSRUCTIVE SURGERY
Doing Business As (dba): PROFESSIONAL PLASTIC SURGERY CENTER
Primary location
3801 BEE RIDGE ROAD
SUITE 1
SARASOTA, FL 34233
Phone: (941) 925-3633 Fax: (941) 925-1435
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREGORY HIELES
PRESIDENT
Phone: (941) 925-3633
Updated
Identifiers

Identifiers for PROFESSIONAL PLASTIC SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL0634409-00
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
FL ME42730

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.