Mark D Rickmeyer, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

106510 Issued in MO

Practice address

714 Gravois Rd
Ste 210
Fenton, MO 63026-7723

Phone

(314) 543-5230

Fax

(314) 543-5280

NPI assigned

Jun 21, 2006

Last updated

Apr 17, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Patients First Health Care LLC

  • Internal Medicine Physician
  • Washington, MO
  • NPI 1962441386

  Family Medicine

  NPD
• Patients First Health Care LLC

  • Cardiovascular Disease Physician
  • Fenton, MO
  • NPI 1356581078
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1578509337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 GRAVOIS RD",
            "address_2": "STE 210",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267723",
            "telephone_number": "636-660-9850",
            "fax_number": "636-660-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 GRAVOIS RD",
            "address_2": "STE 210",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267723",
            "telephone_number": "314-543-5230",
            "fax_number": "314-543-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMEYER",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "106510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243764602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Marlene Reineri, FNP-C
• Revival Chiropractic LLC
• George H. Rezabek, D.O.
• Jennifer Kay Rhodes, PHARMD
• Andrew Richardson, CRNA
• Jessica L Rinderer, NONE
• Kathleen M Robbins, CLC
• Rockwood Family Medicine LLC
• Wendy Kaye Roe, RPH.
• Christina Lynn Roeder, FNP-C

• Family Medicine Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.