Ricky L. Houdersheldt, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

789 Issued in WV

Practice address

3705 Teays Valley Rd
Ste 202
Hurricane, WV 25526-8757

Phone

(304) 757-6990

Fax

(304) 757-0912

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• E. Brad McCoy, D.O. PLLC

  • Primary Care Clinic/Center
  • Hurricane, WV
  • NPI 1487802567
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1457306300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 TEAYS VALLEY RD",
            "address_2": "STE 202",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268757",
            "telephone_number": "304-757-6990",
            "fax_number": "304-757-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 TEAYS VALLEY RD",
            "address_2": "STE 202",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268757",
            "telephone_number": "304-757-6990",
            "fax_number": "304-757-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDERSHELDT",
        "first_name": "RICKY",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "001720446",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084490000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Holmes, MD
• Laurel Marie Holmes, PHARMD
• Michael O Holstein
• Tiffany Holstein
• Gina Holt, MSW, LICSW
• Nicholas Howard
• Jessica Lynn Huffman
• Christopher Lindsay Hugh, DDS
• Julie Huleis
• Katelyn Hunsberger

• Internal Medicine Physician in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.