Nicholas L. Rico, M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01031164A Issued in IN

Legal business name

NICHOLAS L. RICO, M.D., P.C.

Practice address

3303 Trier Rd Ste 1
Fort Wayne, IN 46815-4768

Phone

(260) 483-4260

Fax

(260) 483-6066

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Nicholas L. Rico, M.D.

Title

President and Ceo

Phone

(260) 483-4260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1710062690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 TRIER RD STE 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154768",
            "telephone_number": "260-483-4260",
            "fax_number": "260-483-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 TRIER RD STE 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154768",
            "telephone_number": "260-483-4260",
            "fax_number": "260-483-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS L. RICO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "260-483-4260",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01031164A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079790A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Niblack, RBT
• Naomi R Nicastro, LMSW
• Heather Niccum, RBT
• Rachel Niccum
• Richard K Niccum, MD
• Cheryl A Nichols, M.A.T., CCC-SLP
• Elizabeth A Nichols
• Kristin Nichols, RBT
• Mateo F Nicholson, DO
• Sadie Nicholson, PA-C

• Family Medicine Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.