Ricky Mccoy Kirby
LOPEZ INTERNAL MEDICINE ASSOCIATES INC.


Address: 4291 Roosevelt Blvd, Jacksonville, FL 32210-2061
Phone: 9045981888

Ricky Mccoy Kirby (NPI# 1528010055, PAC ID# 4789842709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1528010055
PAC ID by PECOS 4789842709
Professional Enrollment ID I20120222000672
Full Name Ricky Mccoy Kirby
Organization Legal Name LOPEZ INTERNAL MEDICINE ASSOCIATES INC.
Address 4291 Roosevelt Blvd
Jacksonville
FL 32210-2061
Phone Number 9045981888
Gender M
Graduation Year 2001
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5890969547
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100040 ST VINCENT'S MEDICAL CENTER RIVERSIDE
100321 ST VINCENTS MEDICAL CENTER - CLAY COUNTY

Other Locations

Address Phone Organization
4291 Roosevelt Blvd, Jacksonville, FL 32210-2061 9045981888 LOPEZ INTERNAL MEDICINE ASSOCIATES INC.

Organization Information

Organization Legal Name LOPEZ INTERNAL MEDICINE ASSOCIATES INC.
Physicians 1

Office Location

Street Address 4291 ROOSEVELT BLVD
City JACKSONVILLE
State FL
Zip 32210-2061

Physicians in the same location

Name Specialty Organization Address
Albert A Lopez Jr. Internal Medicine 4291 Roosevelt Blvd, Jacksonville, FL 32210-2061

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Competitor

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City JACKSONVILLE
Zip Code 32210
Specialty NURSE PRACTITIONER
City + Specialty JACKSONVILLE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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