CHARLES CHRISTIAN RICKEY (NPI# 1376702654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376702654 |
| Entity Type | Individual |
| Full Name | CHARLES CHRISTIAN RICKEY |
| Credential | PA-C |
| Practice Address |
265 Brookview Centre Way Ste 400 Knoxville TN 37919-4052 |
| Mailing Address |
379 Ashley St Flemingsburg KY 41041-8777 |
| Practice Telephone | 8652935335 |
| Mailing Telephone | 6066153265 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2015-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | KY PA 837 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 837 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225356660 | Charles Vernon Rickey | Case Manager/Care Coordinator | 202 S. Main St., Watts, OK 74964-0332 | 2010-05-10 |
| Street Address |
265 BROOKVIEW CENTRE WAY STE 400 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447245956 | April Dawn Ebersole | Nurse Practitioner | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2005-09-12 |
| 1740816933 | Diane S Weis | Nurse Practitioner | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2020-03-19 |
| 1730695180 | Mercedes Kalt | Nurse Practitioner | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2017-12-21 |
| 1710368394 | Jeffrey Foster Jr. | Emergency Medicine | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2015-06-09 |
| 1629314398 | Jennifer Banek | Nurse Anesthetist, Certified Registered | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2012-12-27 |
| 1841433281 | Kristy Elizabeth Bowen | Emergency Medicine | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2009-04-15 |
| 1225227408 | Jennifer Dick | Physician Assistant | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2007-10-23 |
| 1720001811 | Marian C Bryce | Internal Medicine | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2006-07-26 |
| 1235172248 | Prem C Shukla | Emergency Medicine | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2006-06-14 |
| 1598708398 | Douglas M Spaeth | Internal Medicine | 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | 2006-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198061 | John Intemann | Physician Assistant | 2708 Swafford Rd, Knoxville, TN 37932-1311 | 2020-09-13 |
| 1942839311 | Melissa Joanne O'neill | Physician Assistant | 814 Landings River Way Unit 301, Knoxville, TN 37915-1444 | 2020-04-07 |
| 1447895370 | Keiana Skinner | Physician Assistant | 2206 Finley Cane Ln, Knoxville, TN 37932-1572 | 2019-11-14 |
| 1780231068 | Kaycee Heitzman | Physician Assistant | 3055 W Gallaher Ferry Rd, Knoxville, TN 37932-1022 | 2019-08-21 |
| 1366009169 | John Powell Williams Iv | Physician Assistant | 501 19th St Ste 503, Knoxville, TN 37916-1874 | 2019-05-28 |
| 1508423369 | Bradley-james Ryan Faulkner | Physician Assistant | 1924 Pinnacle Pointe Way Ste 100, Knoxville, TN 37922-3700 | 2019-05-28 |
| 1316406499 | David M Beauchamp | Physician Assistant | 10714 Silver Leaf Way Apt 104, Knoxville, TN 37931-2758 | 2019-03-18 |
| 1568920593 | Richard Ervin Birmingham II | Physician Assistant | 304 Bagwell Rd, Knoxville, TN 37924-2813 | 2019-03-08 |
| 1710443080 | Devon Meske Herrin | Physician Assistant | 6484 Kingston Pike, Knoxville, TN 37919-4863 | 2019-02-12 |
| 1780149070 | Shelby Paige Bean | Physician Assistant | 7661 Red Bay Way, Knoxville, TN 37919-4722 | 2019-01-31 |
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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.