Jeffrey M Ricketts in Grand Rapids - Anesthesiology

Jeffrey M Ricketts - NPI 1033172184

Jeffrey M Ricketts is a Anesthesiology in Grand Rapids, Michigan. Jeffrey M Ricketts practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Jeffrey M Ricketts is 1033172184. The last update date is 2014-07-03.

Jeffrey M Ricketts's current location address is 3333 Evergreen Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163644200 and fax number 6163647347. The mailing address for Jeffrey M Ricketts is 3333 Evergreen Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey M Ricketts
Address 3333 Evergreen Dr Ne, Grand Rapids, Michigan
Phone Number 6163644200
Fax Number 6163647347
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1033172184
Provider Enumeration Date 2006-04-10
Last Updated Date 2014-07-03

Provider Mailing Address Detail

Address 3333 Evergreen Dr Ne
City Grand Rapids
State Michigan (MI)
Post Code 495259756
Phone Number 6163644200
Fax Number 6163647347

Provider's Primary Taxonomy Detail

Speciality Anesthesiology
Taxonomy 207L00000X
Licence No 5101008399
Definition:
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3318293 MI --
050D110480 MI BCBS GROUP BILL PIN
5410038 MI BCBS PIN
JR008399 MI BCBS LICENSE NUMBER
50054284 MI RAILROAD MEDICARE
CE1952 MI RAILROAD GROUP NUMBER

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FAQs about Jeffrey M Ricketts

What is the unique provider identifier assigned to Jeffrey M Ricketts?

The Jeffrey M Ricketts has been issued the NPI (National Provider Identifier) 1033172184 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jeffrey M Ricketts's facilities are geographically located?

The facilities of Jeffrey M Ricketts are physically situated at the following location: 3333 Evergreen Dr Ne, Grand Rapids, MI, 495259756.

What is Jeffrey M Ricketts's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrey M Ricketts is Anesthesiology, and the taxonomy code that classifies this field of practice is 207L00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1033172184 to Jeffrey M Ricketts?

The Jeffrey M Ricketts received its 1033172184 assignment from the Centers for Medicare & Medicaid Services on 2006-04-10.

When was the information pertaining to Jeffrey M Ricketts most recently updated or revised?

The details related to Jeffrey M Ricketts, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-03.

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