Individual
GREGORY G HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30575 BAINBRIDGE RD STE 200, CLEVELAND, OH 44139-2275
(440) 542-5000
(440) 542-5005
Mailing address
30575 BAINBRIDGE RD STE 200, CLEVELAND, OH 44139-2275
(440) 542-5000
(440) 542-5005
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
003908
OH
207RP1001X
Pulmonary Disease Physician
Primary
34-003908
OH
208M00000X
Hospitalist Physician
34-003908
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0841325
—
OH
01
—
290008878
RAILROAD MEDICARE
OH
Enumeration date
06/08/2006
Last updated
03/03/2026
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