Lee W Ricketts II, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30881 Issued in KY

Practice address

2600 Gribbin Dr
Lexington, KY 40517-4498

Phone

(859) 268-8190

Fax

(859) 268-9823

NPI assigned

Jun 22, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Bluegrass Medical Associates PSC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1316946429
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1467498683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GRIBBIN DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174498",
            "telephone_number": "859-268-8190",
            "fax_number": "859-268-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GRIBBIN DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174498",
            "telephone_number": "859-268-8190",
            "fax_number": "859-268-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "LEE",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "30881",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "30881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64308810",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000308817",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Richie
• Henry Charles Tyler Richmond IV, MD
• Taylor Richmond
• Jonathan E Ricker, M.D.
• Pamela Rickerson, RN, MSN, CDE
• Rachel A Ridd, CSW
• Samantha Lee Riddell
• Sunny Christina Riddell
• Andre Riddick Sr., LPCC
• Alicia Riddle

• Internal Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.