Active NPI
Ricky Lee Milbourne Jr., CSA, LSA
- Surgical Assistant
- Chesapeake, VA
National Provider Identifier
1003663014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 0136000535
- Practice address
- 844 Battlefield Blvd N
Chesapeake, VA 23320-4802 - Phone
- (757) 312-6800
- NPI assigned
- May 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 0136000535 | VA | Primary |
Addresses
Primary practice location
844 Battlefield Blvd N
Chesapeake, VA 23320-4802
Mailing address
5103 Tanglewood CT
Suffolk, VA 23435-2637
Phone (703) 965-6239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0136000535 | VA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1003663014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5103 TANGLEWOOD CT",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234352637",
"telephone_number": "703-965-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 BATTLEFIELD BLVD N",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204802",
"telephone_number": "757-312-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBOURNE",
"first_name": "RICKY",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "CSA, LSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "VA",
"license": "0136000535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.