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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
Address | Phone | Organization |
---|---|---|
4291 Roosevelt Blvd, Jacksonville, FL 32210-2061 | 9045981888 | LOPEZ INTERNAL MEDICINE ASSOCIATES INC. |
Organization Legal Name | LOPEZ INTERNAL MEDICINE ASSOCIATES INC. |
Physicians | 1 |
Street Address |
4291 ROOSEVELT BLVD |
City | JACKSONVILLE |
State | FL |
Zip | 32210-2061 |
Name | Specialty | Organization | Address |
---|---|---|---|
Albert A Lopez Jr. | Internal Medicine | 4291 Roosevelt Blvd, Jacksonville, FL 32210-2061 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jairo A De La Hoz | Family Medicine | 5233 Ricker Rd, Suite 101, Jacksonville, FL 32210-1439 | |
Patrick Opachich | Chiropractic | 1610 Blanding Blvd, Jacksonville, FL 32210-1804 | |
Clifford H Spohr | Diagnostic Radiology | Elite Imaging LLC | 4171 Roosevelt Blvd, Jacksonville, FL 32210-1837 |
Kristie Driver | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
Aishah Covington Simms | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
Joseph M Glick | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
Curtis M Bleau | Podiatry | Podiatry Associates of Florida Inc | 1824 Blanding Blvd, Jacksonville, FL 32210-1904 |
Jesse P Mcrae | Allergy/immunology | Jesse P Mcrae M D P A | 1727 Blanding Blvd, Jacksonville, FL 32210-1949 |
Chalermchai Punya | General Practice | Lakeshore Medical Care Center, Inc | 4570 San Juan Ave, Suite 2, Jacksonville, FL 32210-2051 |
David A Edwards | Chiropractic | Edwards Chiropratic Offices Pa | 4558 San Juan Ave, Jacksonville, FL 32210-2051 |
Find all physicians in zip 32210 |
City | JACKSONVILLE |
Zip Code | 32210 |
Specialty | NURSE PRACTITIONER |
City + Specialty | JACKSONVILLE + NURSE PRACTITIONER |
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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.