Organization Active NPI

Ricca Neurosurgical Clinic PLLC

  • Neurological Surgery Physician
  • Jonesboro, AR
National Provider Identifier
1295886026
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MC2473 Issued in AR
Legal business name
RICCA NEUROSURGICAL CLINIC PLLC
Practice address
701 Windover Road
Suite 400
Jonesboro, AR 72401
Phone
(870) 336-2100
Fax
(870) 336-2101
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Dr. Gregory F. Ricca, MDNPI 1386615177
Title
Member
Phone
(870) 336-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X MC2473 AR Primary

Addresses

Primary practice location

701 Windover Road
Suite 400
Jonesboro, AR 72401

Mailing address

701 Windover Road
Suite 400
Jonesboro, AR 72401
Phone (870) 336-2100

National Provider Directory

National Provider Directory

Locations

701 Windover Rd
Ste 400
Jonesboro, AR 72401
Phone (870) 336-2100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1295886026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WINDOVER ROAD",
            "address_2": "SUITE 400",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-336-2100",
            "fax_number": "870-336-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WINDOVER ROAD",
            "address_2": "SUITE 400",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-336-2100",
            "fax_number": "870-336-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCA NEUROSURGICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "RICCA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "870-336-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "MC2473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.