Ricky D St Onge, MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

35-066328 Issued in OH

Legal business name

RICKY D ST ONGE, MD LLC

Practice address

5910 Cleveland Ave
Columbus, OH 43231-6881

Phone

(614) 882-4343

Fax

(614) 882-4664

NPI assigned

Jun 29, 2012

Last updated

Nov 12, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ricky Donald St Onge, MD

Title

Sole Member

Phone

(740) 645-3893

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1023372448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 N HAMILTON RD # 216",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306785",
            "telephone_number": "740-645-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316881",
            "telephone_number": "614-882-4343",
            "fax_number": "614-882-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKY D ST ONGE, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "ST ONGE",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "740-645-3893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35-066328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Ricketts II
• Andrew Rickly
• Wendy Ricks Hoff
• Anna M Ricks
• Donald A Ricks Jr.
• Mohammad Rida, MD
• Brenda M Riddle
• Kristine Riddle, LPN
• Olivia L Riddle, APRN-CNP
• Ride Excellence LLC

• Medical Specialty Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.