Anthony M Ricciardi (NPI# 1629087242, PAC ID# 8123075512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1629087242 |
| PAC ID by PECOS | 8123075512 |
| Professional Enrollment ID | I20050407000566 |
| Full Name | Anthony M Ricciardi |
| Organization Legal Name | ANTHONY M RICCIARDI JR LTD INC |
| Address |
7135 W Sahara Ave Suite 201 Las Vegas NV 89117-2828 |
| Phone Number | 7028782455 |
| Gender | M |
| Credential | DPM |
| Medical School | PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2163460031 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290053 | ST ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 7135 W Sahara Ave, Suite 201, Las Vegas, NV 89117-2828 | 7028782455 | ANTHONY M RICCIARDI JR LTD INC |
| 8352 W Warm Springs Rd, Fl 3, Las Vegas, NV 89113-3628 | 7028517287 | DOCTOR'S HEALTH NETWORK INC |
| Organization Legal Name | ANTHONY M RICCIARDI JR LTD INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Demetrius J Barnes | Podiatry | Anthony M Ricciardi Jr Ltd Inc | 7135 W Sahara Ave, Suite 201, Las Vegas, NV 89117-2828 |
| Gary R Dorfman | Podiatry | Anthony M Ricciardi Jr Ltd Inc | 7135 W Sahara Ave, Suite 201, Las Vegas, NV 89117-2828 |
| Street Address |
7135 W SAHARA AVE SUITE 201 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89117-2828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime L Parke | Certified Registered Nurse Anesthetist (crna) | Savignac Anesthesia, PC | 7135 W Sahara Ave, Suite 101, Las Vegas, NV 89117-2828 |
| Joanne K Heins | Certified Registered Nurse Anesthetist (crna) | Savignac Anesthesia, PC | 7135 W Sahara Ave, Suite 101, Las Vegas, NV 89117-2828 |
| Norma F Sorelle | Certified Registered Nurse Anesthetist (crna) | Savignac Anesthesia, PC | 7135 W Sahara Ave, Suite 101, Las Vegas, NV 89117-2828 |
| Michelle C Edwards | Certified Registered Nurse Anesthetist (crna) | Savignac Anesthesia, PC | 7135 W Sahara Ave, Suite 101, Las Vegas, NV 89117-2828 |
| Demetrius J Barnes | Podiatry | Anthony M Ricciardi Jr Ltd Inc | 7135 W Sahara Ave, Suite 201, Las Vegas, NV 89117-2828 |
| Gary R Dorfman | Podiatry | Anthony M Ricciardi Jr Ltd Inc | 7135 W Sahara Ave, Suite 201, Las Vegas, NV 89117-2828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Baumgartl | Anesthesiology | 1541 Windhaven Cir, Las Vegas, NV 89117-1532 | |
| Saritha L Farris | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
| Aaron E Bomer | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
| Joseph E Dipalma | Internal Medicine | 7341 W Charleston Blvd, Suite 120, Las Vegas, NV 89117-1573 | |
| Kathleen L Risdon | Clinical Social Worker | 7371 W Charleston Blvd, Suite 110, Las Vegas, NV 89117-1575 | |
| Maria A Giacalone | Chiropractic | 7341 W Charleston Blvd, Suite 170, Las Vegas, NV 89117-1578 | |
| Michelle A Gravley | Clinical Psychologist | Michelle Gravley, P.C. | 7221 W Charleston Blvd, Las Vegas, NV 89117-1619 |
| Russell P Jayne | Ophthalmology | 6839 W Charleston Blvd, Las Vegas, NV 89117-1635 | |
| Juliet Ruiz | Clinical Social Worker | 6867 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1669 | |
| Charles G Mahakian | Psychiatry | 6881 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1673 | |
| Find all physicians in zip 89117 | |||
| City | LAS VEGAS |
| Zip Code | 89117 |
| Specialty | PODIATRY |
| City + Specialty | LAS VEGAS + PODIATRY |
Please comment or provide details below to improve the information on Anthony M Ricciardi.
| 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.