Provider Demographics
NPI:1992763155
Name:HYKES, DAVID L JR (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:HYKES
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1031 PIERCE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-4669
Mailing Address - Country:US
Mailing Address - Phone:419-557-5568
Mailing Address - Fax:419-557-5542
Practice Address - Street 1:703 TYLER ST STE 151
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3392
Practice Address - Country:US
Practice Address - Phone:419-627-0207
Practice Address - Fax:419-627-5599
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34011088207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0097320Medicaid