Matthew P Ricci is a Surgical in Grand Rapids, Michigan. Matthew P Ricci practices all healthcare services and medical treatments related to Surgical. The NPI Number for Matthew P Ricci is 1215924386. The last update date is 2013-09-18.
Matthew P Ricci's current location address is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164597101 and fax number 6164646170. The mailing address for Matthew P Ricci is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew P Ricci |
|---|---|
| Address | 1111 Leffingwell Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6164597101 |
| Fax Number | 6164646170 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1215924386 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2013-09-18 |
Provider Mailing Address Detail
| Address | 1111 Leffingwell Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256406 |
| Phone Number | 6164597101 |
| Fax Number | 6164646170 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 5601003589 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00284546 | RR MEDICARE |
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What is the unique identification code assigned to Matthew P Ricci by the Centers for Medicare & Medicaid Services?
The Matthew P Ricci has been issued the NPI (National Provider Identifier) 1215924386. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Matthew P Ricci is located?
The Matthew P Ricci is situated at the following address: 1111 Leffingwell Ave Ne, Grand Rapids, MI, 495256406.
What is Matthew P Ricci's area of expertise and its corresponding taxonomy classification?
The Matthew P Ricci's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Matthew P Ricci receive its 1215924386 assignment from the Centers for Medicare & Medicaid Services?
The Matthew P Ricci was assigned its 1215924386 by the Centers for Medicare & Medicaid Services on 2005-10-04.
As of what date were the Matthew P Ricci's details last updated?
The information pertaining to the Matthew P Ricci, including its address, specialty, and other details, was most recently updated on 2013-09-18.