Dr Ritky C Dy Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18537 Issued in AL

Legal business name

DR RITKY C DY MEDICAL CLINIC, LLC

Practice address

1221 7TH St S
Clanton, AL 35045-3723

Phone

(205) 280-6789

Fax

(205) 280-1350

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ritky C Dy, M.D.NPI 1487708145

Title

Owner

Phone

(205) 280-6789

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ritky C Dy, M.D.

  • Family Medicine Physician
  • Clanton, AL
  • NPI 1487708145

  AL, Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1083758338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350460109",
            "telephone_number": "205-280-6789",
            "fax_number": "205-280-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 7TH ST S",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453723",
            "telephone_number": "205-280-6789",
            "fax_number": "205-280-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RITKY C DY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "RITKY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-280-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000093998",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason H Deberry, MD
• Courtney Dempsey, ALC
• Morgan Rena Dennis
• Robert Douglas, M.ED., NCC, LPC
• Lisa Bates Downing, RPH
• James L Driggars, OD
• DRS. Koslin & Kahn, P.C.
• Dsi Renal Inc
• Kelly Duke, LCSW
• Ritky C Dy, M.D.

• Family Medicine Physician in Clanton, AL
• Providers in Clanton, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.