Jonathan Michael Ricker, DO

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

DO1670 Issued in NV

Practice address

825 N Gibson Rd Ste 201
Henderson, NV 89011-1708

Phone

(702) 492-1162

Fax

(702) 492-1319

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Gastroenterology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Las Vegas Medical Group LLCGroup PAC ID 6800118522, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henderson Hospital Hospital, Henderson, NV, CCN 290057
• Exceptional Community Hospital Bullhead City Hospital, Bullhead City, AZ, CCN 030155

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

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.

• Las Vegas Medical Group LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1447656988

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Henderson Hospital

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1003281452
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henderson Hospital

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1003281452
  Care Compare affiliation
• Henderson Hospital

  • Emergency Care Clinic/Center
  • Henderson, NV
  • NPI 1285490292

  Hospital

  Care Compare affiliation
• Henderson Hospital

  • Emergency Care Clinic/Center
  • Henderson, NV
  • NPI 1376198028

  Hospital

  Care Compare affiliation
• Exceptional Health Care Bullhead City LLC

  • Special Hospital
  • Bullhead City, AZ
  • NPI 1750092110
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1396843496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "702-492-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "702-492-1162",
            "fax_number": "702-492-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKER",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO1670",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "DO1670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396843496",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindie M Richardson
• Davontae Richardson
• Randall Richileau, CST
• Sara J Richins, APRN-CNM
• Michael Richmond
• Rico Fontillas Inc
• Kristheana Rico, RPH
• Valerie Rico
• Melissa Ann Ridella, APRN
• John Vincent Rider, PHD, MS, OTR/L

• Gastroenterology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Gastroenterology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.
• 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.