MR. BRUCE W. RICKER (NPI# 1851441760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851441760 |
| Entity Type | Individual |
| Full Name | MR. BRUCE W. RICKER |
| Credential | D.O. |
| Practice Address |
504 N. Cleveland St. Mount Ayr IA 50854-2201 |
| Practice Telephone | 6414643226 |
| Practice Fax Number | 6414644420 |
| Mailing Telephone | 6414643226 |
| Mailing Fax Number | 6414644420 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2009-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02962 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 002962 | 05 | |
| IA | 0139626 | 05 | |
| IA | 080090856 | 05 | |
| IA | 930044754 | 05 | |
| IA | JOHN DEERE | IA0110 | 01 |
| MO | 245885116 | 05 | |
| IA | MIDLAND CHOICE | 8810 | 01 |
| IA | 1139626 | 05 | |
| IA | BLUE CROSS | 57934 | 01 |
| Street Address |
504 N. CLEVELAND ST. |
| City | MOUNT AYR |
| State | IA |
| Zip Code | 50854-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992854434 | Ringgold County Hospital | Clinic/Center | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-10 |
| 1710178322 | Ringgold County Hospital | Clinic/Center | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-08-08 |
| 1730231077 | Ringgold County Hospital | Personal Emergency Response Attendant | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-17 |
| 1861542490 | Marcy J Gregg | Nurse Practitioner | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-12 |
| 1245380864 | Dana Knight Johnson | Surgery | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-12 |
| 1043360688 | Edward Michael Magers | Family Medicine | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-12 |
| 1497806038 | Ron Douglas Schafer | Physician Assistant | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-12 |
| 1508916024 | Ringgold County Hospital | Ambulance | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-10 |
| 1366591851 | Ringgold County Hospital | Clinic/Center | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-10 |
| 1356490841 | Ringgold County Hospital | Medicare Defined Swing Bed Unit | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068039 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 406 S. Hayes Street, Mount Ayr, IA 50854 | 2019-02-04 |
| 1205218112 | Kathleen Quinn Willcox | Family Medicine | Mount Ayr Medical Clinic, 504 N. Cleveland St, Mount Ayr, IA 50854 | 2015-06-26 |
| 1407944853 | Charles Collus Lawhead | Dentist | 104 So Taylor St, Mount Ayr, IA 50854 | 2006-10-11 |
| 1588738918 | Clearview Estates | Assisted Living Facility | 500 W Columbus St, Mount Ayr, IA 50854-1100 | 2006-11-18 |
| 1356414239 | Ringgold County Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 111 Ringgold St, Mount Ayr, IA 50854-1215 | 2006-11-16 |
| 1154356681 | Steven R Roe | Pharmacist | 211 Shellway Dr, Mount Ayr, IA 50854-1233 | 2006-07-12 |
| 1952485872 | Clearview-routh Lp | Skilled Nursing Facility | 406 W Washington St, Mount Ayr, IA 50854-1324 | 2006-10-25 |
| 1912035833 | Clearview Homes | Home Delivered Meals | 406 W Washington St, Mount Ayr, IA 50854-1324 | 2007-03-01 |
| 1376629758 | David C Ahnen | Podiatrist | 102 E Adams St, Mount Ayr, IA 50854-1621 | 2006-10-28 |
| 1023229549 | Sudarsan Chavala | Ophthalmology | 102 E Adams St, Suite 2, Mount Ayr, IA 50854-1621 | 2007-05-25 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205218112 | Kathleen Quinn Willcox | Family Medicine | Mount Ayr Medical Clinic, 504 N. Cleveland St, Mount Ayr, IA 50854 | 2015-06-26 |
| 1043288756 | Jerald Joe Phipps | Family Medicine | 504 N Cleveland St, Mount Ayr, IA 50854-2201 | 2006-03-09 |
| 1649250002 | Dwain G Crain | Family Medicine | 207 N Taylor St, Mount Ayr, IA 50854-1635 | 2006-01-20 |
| 1639684335 | Greater Regional Medical Center | Family Medicine | 120 S Taylor St, Mount Ayr, IA 50854-1829 | 2017-12-05 |
| 1548789043 | Erin Rachel Leonard | Family Medicine | 504 N Cleveland St, Mount Ayr, IA 50854-2201 | 2017-09-15 |
| 1336533520 | Haroon Ferhut | Family Medicine | 504 N Cleveland St, Mount Ayr, IA 50854-2201 | 2015-03-25 |
| 1467638072 | Crain Medical Clinic | Family Medicine | 207 N Taylor St, Mount Ayr, IA 50854-1635 | 2008-01-14 |
| 1043360688 | Edward Michael Magers | Family Medicine | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779283 | Melinda Heverly | Family Medicine | 6343 Sutton Dr, Urbandale, IA 50322-8053 | 2020-10-31 |
| 1215536636 | Darcie Marie Cook | Family Medicine | 8285 Turkey Valley Ln, Dubuque, IA 52003-9749 | 2020-10-19 |
| 1740896828 | Lisa Marie Swanson | Family Medicine | 1609 N Ankeny Blvd # 200, Ankeny, IA 50023-4159 | 2020-09-23 |
| 1003421959 | Elizabeth Ann Myhr | Family Medicine | 2680 Ne 102nd Ave, Ankeny, IA 50021-9224 | 2020-09-08 |
| 1407465917 | Qv Urgent Care Ia Pllc | Family Medicine | 801 North Grand Avenue, Mt. Pleasant, IA 52641 | 2020-07-30 |
| 1871101246 | Des Moines Regenerative Medicine Pllc | Family Medicine | 5901 Westown Pkwy Ste 220, West Des Moines, IA 50266-8297 | 2020-07-21 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1689291411 | Katie Weigel | Family Medicine | 635 W Washington St, Winthrop, IA 50682-9356 | 2020-06-27 |
| 1760005110 | Barbra Ellen Faux | Family Medicine | 1007 W 3rd Ave Apt 115, Indianola, IA 50125-3172 | 2020-05-20 |
| 1235764424 | Amber Dawn Hartman | Family Medicine | 20671 42nd St, Anamosa, IA 52205-7735 | 2020-03-08 |
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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.