JOHN RICKETSON (NPI# 1710968979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710968979 |
Entity Type | Individual |
Full Name | JOHN RICKETSON |
Credential | M.D. |
Practice Address |
1001 N Monroe St Albany GA 31701-1903 |
Practice Telephone | 2294367248 |
Practice Fax Number | 2294311951 |
Mailing Telephone | 2294367248 |
Mailing Fax Number | 2294311951 |
Enumeration Date | 2005-11-07 |
Last Update Date | 2010-11-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
23099 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00287801A | 05 |
Street Address |
1001 N MONROE ST |
City | ALBANY |
State | GA |
Zip Code | 31701-1903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396738886 | Ronald Allan Cucina | Obstetrics & Gynecology | 1001 N Monroe St, Albany, GA 31701-1903 | 2005-08-30 |
1164733481 | Alana Anderson | Advanced Practice Midwife | 1001 N Monroe St, Albany, GA 31701-1903 | 2010-07-01 |
1598975542 | Albany Ob-gyn LLC | Obstetrics & Gynecology | 1001 N Monroe St, Albany, GA 31701-1903 | 2007-05-22 |
1346221595 | Gilbert South Klemann | Specialist | 1001 N Monroe St, Albany, GA 31701-1903 | 2005-11-07 |
1013998277 | Donna Graf | Specialist | 1001 N Monroe St, Albany, GA 31701-1903 | 2005-11-07 |
1154312353 | Andrew Michas | Specialist | 1001 N Monroe St, Albany, GA 31701-1903 | 2005-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
Find all providers in zip 31701 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619274248 | Louis P. Gagliardi M.d. P.C. | Obstetrics & Gynecology | 2020 Western Avenue, Albany, NY 12203 | 2011-02-17 |
1942360722 | Katy Irani PC | Obstetrics & Gynecology | 415 New Karner Rd, Albany, NY 12205 | 2006-12-11 |
1982791489 | Agape - A Womans Medical Place Pllc | Obstetrics & Gynecology | 500 New Karner Rd, Albany, NY 12205 | 2006-10-06 |
1497709232 | Fred C Storm | Obstetrics & Gynecology | 259 Lark St, Albany, NY 12210-1108 | 2006-05-19 |
1548649734 | Albany General Hospital | Obstetrics & Gynecology | 400 Hickory St Nw, Suite 200, Albany, OR 97321-1700 | 2015-05-21 |
1215198742 | Clinton County Hospital Physician Group | Obstetrics & Gynecology | 723 Burkesville Rd, Suite 100, Albany, KY 42602-1654 | 2008-06-18 |
1548357049 | Josefina Vega Marin | Obstetrics & Gynecology | 500 New Karner Rd, Albany, NY 12205 | 2006-10-06 |
1336132869 | John Stephen Inman Jr. | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2005-08-30 |
1558354076 | William Mose George Jr. | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2005-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
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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.