Active NPI
Louis Patrick Ricci, DO
- Family Medicine Physician
- Fort Meyers, FL
National Provider Identifier
1114098894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LS3412
- Practice address
- 16476 Edgemont Drive
Fort Meyers, FL 33908-6218 - Phone
- (239) 437-4081
- Fax
- (239) 437-3732
- NPI assigned
- Nov 13, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LS3412 | FL | Primary |
Addresses
Primary practice location
16476 Edgemont Drive
Fort Meyers, FL 33908-6218
Mailing address
16476 Edgemont Drive
Fort Meyers, FL 33908-6218
Phone (239) 437-4081
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LS3412 | FL | MD | Family Medicine Physician |
| 093097 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114098894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16476 EDGEMONT DRIVE",
"city": "FORT MEYERS",
"state": "FL",
"postal_code": "339086218",
"telephone_number": "239-437-4081",
"fax_number": "239-437-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16476 EDGEMONT DRIVE",
"city": "FORT MEYERS",
"state": "FL",
"postal_code": "339086218",
"telephone_number": "239-437-4081",
"fax_number": "239-437-3732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCI",
"first_name": "LOUIS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "LS3412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Meyers, FL
- Mallory Lampson, CCP
- Marc A Nathanson, DPM
- National Vision, Inc. (EyeGlass World)
- Opportunity Services, Inc
- Gail Lee Rathbun, ARNP
- Brian Selius, DO
- Senior Care of Hidden Oaks Operator LLC (Hidden Oaks)
- Southwest Florida Associates in Mental Health and Addictions, P.a.
- Alessandra Valerio Orlando, MD
- Wal-Mart Stores East, LP (Walmart Pharmacy 10-2829)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.