RICKY P. LOCKETT, D.O, PA (NPI# 1366081325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366081325 |
| Entity Type | Organization |
| Organization Name | RICKY P. LOCKETT, D.O, PA |
| Practice Address |
2822 W Virginia Ave Tampa FL 33607-6330 |
| Mailing Address |
1501 5th Ave N St Petersburg FL 33705-2008 |
| Practice Telephone | 7274529526 |
| Mailing Telephone | 7274529526 |
| Mailing Fax Number | 8132008449 |
| Enumeration Date | 2019-12-22 |
| Last Update Date | 2019-12-22 |
| Authorized Official Name | DR. RICKY P. LOCKETT (DIRECTOR) |
| Authorized Official Telephone | 7278968686 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | RICKY P. LOCKETT, D.O, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wound Healing Innovation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023306206 | Ricky P. Lockett, D.o, Pa | Physical Medicine & Rehabilitation | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2011-07-21 |
| Street Address |
2822 W VIRGINIA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043269970 | Tod Joseph Fusia | Urology | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2006-05-08 |
| 1174178958 | Bernice Melissa Jimenez | Nurse Practitioner | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2019-08-07 |
| 1336661768 | Sade T Bellmany | Nurse Practitioner | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2017-07-07 |
| 1033652615 | Theresa Webb | Nurse Practitioner | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2016-11-30 |
| 1447401955 | Florida Urology Partners LLP | Urology | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2008-10-02 |
| 1467499731 | Tod Fusia & Mark Swierz | Urology | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2006-06-02 |
| 1952350811 | Henry Anthony Cacciatore | Urology | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252534 | Florida Medical Labs Inc | Clinic/Center | 2901 W Busch Blvd Ste 206, Tampa, FL 33618-4564 | 2020-07-14 |
| 1114403227 | Robust Pain & Wellness Medical Center Inc | Clinic/Center | 3105 W Waters Ave Ste 210, Tampa, FL 33614-2873 | 2018-07-12 |
| 1720599137 | United States Management | Clinic/Center | 1419 W Waters Ave Ste 105, Tampa, FL 33604-2896 | 2017-10-12 |
| 1891240693 | Nuessence LLC | Clinic/Center | 18001 Malakai Isle Dr, Tampa, FL 33647-2991 | 2016-08-22 |
| 1306220777 | Medical A Center Inc | Clinic/Center | 7825 N Dale Marby Hwy, Ste 27, Tampa, FL 33614 | 2015-07-16 |
| 1144615196 | Balanced Health, Pllc | Clinic/Center | 11327 Countryway Blvd, Tampa, FL 33626-2610 | 2015-04-06 |
| 1134539273 | Lotus Path Wellness Center | Clinic/Center | 3642 Madaca Ln, Tampa, FL 33618-2057 | 2014-04-29 |
| 1689091050 | Dcreasequeen, Inc. | Clinic/Center | 11634 Bristol Chase Dr, Tampa, FL 33626-3300 | 2014-03-24 |
| 1790127249 | Ferrer Medical Center | Clinic/Center | 8313 W Hillsborough Ave Ste 260, Tampa, FL 33615-3818 | 2013-07-25 |
| 1205278264 | Century Health Center | Clinic/Center | 7402 N 56th St Bldg 900, Suite 907, Tampa, FL 33617-7733 | 2013-07-18 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.