Ricks Advanced Dermatology & Skin Surgery, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

04-23188 Issued in KS

Legal business name

RICKS ADVANCED DERMATOLOGY & SKIN SURGERY, PA

Practice address

5120 SW 28TH St
Topeka, KS 66614-2321

Phone

(785) 408-5800

NPI assigned

Oct 25, 2015

Organization subpart

No

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

Authorized official

Name

Carol Gitto, MBA

Title

Administrator

Phone

(785) 408-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Practitioners 7

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

• Caedran Peete, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Topeka, KS
  • NPI 1811413842
  Medicare reassignment Care Compare group NPD
• Heidi Marie Prockish, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Topeka, KS
  • NPI 1376308486
  Medicare reassignment Care Compare group NPD
• Matthew Ray Ricks, M.D.

  • Dermatology Physician
  • Topeka, KS
  • NPI 1669403861
  Medicare reassignment Care Compare group NPD
• Angela Treanor, APRN

  • Nurse Practitioner
  • Topeka, KS
  • NPI 1992350888
  Medicare reassignment Care Compare group NPD
• Hayley N Golden, PA-C

  • Physician Assistant
  • Topeka, KS
  • NPI 1689027211
  Medicare reassignment Care Compare group
• Jay Paul Gray, PA-C

  • Physician Assistant
  • Topeka, KS
  • NPI 1205211497
  Medicare reassignment Care Compare group
• Dylan G Timmermann, PA-C

  • Physician Assistant
  • Topeka, KS
  • NPI 1235838228
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1346612751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142321",
            "telephone_number": "785-408-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142321",
            "telephone_number": "785-408-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Corporate Centre Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660471002",
            "country_code": "US",
            "telephone_number": "785-730-8770",
            "fax_number": "785-730-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICKS ADVANCED DERMATOLOGY & SKIN SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-25",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "GITTO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-408-5800",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-23188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Richie, LPN
• Leah Michelle Richter, MPT
• Rick D Hancock DC PA
• David J Ricketts-Kingfisher, MD
• Tonya Kay Ricklefs, PHD, LMSW
• Matthew Ray Ricks, M.D.
• Rico Services
• David F Rieb, PSY.D.
• Sheri Lynne Riegel-Harper, RN
• Aimee N Riegel, PT

• Dermatology Physician in Topeka, KS
• Providers in Topeka, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.