Rickey D Medlock, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

C6445 Issued in AR

Practice address

9800 Baptist Health Dr Ste 200
Little Rock, AR 72205-6243

Phone

(501) 219-0900

Fax

(501) 312-4750

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_retinaassociates

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Retina Associates, P.a.

  • Specialist
  • Little Rock, AR
  • NPI 1447215603
  Medicare reassignment NPD

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1366424996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BROADWAY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BAPTIST HEALTH DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056243",
            "telephone_number": "501-219-0900",
            "fax_number": "501-312-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "RICKEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AR",
            "license": "C6445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Laboratories of Arkansas, Inc.
• Victoria M Medina Carbonell, MD
• Daniel Enrique Medina, MED, CCC-SLP
• Halle Medley, LPC
• Mya Medley
• Medsurg Inc
• Trevor Meece, MD
• James Christopher Meek, D.O.
• Mary E Meek, MD
• William Joseph Meek, D.O.

• Retina Specialist (Ophthalmology) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Retina Specialist (Ophthalmology) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.