Deanna P. Ricker, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

41103 Issued in MA

Legal business name

DEANNA P. RICKER, M.D., P.C.

Practice address

105 Chestnut St
Suite #27
Needham, MA 02492-2599

Phone

(781) 444-5122

Fax

(781) 444-4106

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Deanna P. Ricker, M.D.NPI 1235112236

Title

President/Ceo

Phone

(781) 444-5122

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17918/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanna P. Ricker, M.D.

  • Ophthalmology Physician
  • Needham, MA
  • NPI 1235112236
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1649577370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHESTNUT ST",
            "address_2": "SUITE #27",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922599",
            "telephone_number": "781-444-5122",
            "fax_number": "781-444-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHESTNUT ST",
            "address_2": "SUITE #27",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922599",
            "telephone_number": "781-444-5122",
            "fax_number": "781-444-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA P. RICKER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "RICKER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "781-444-5122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "41103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069733",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Needham, MA
• Providers in Needham, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.