Active NPI
Orville Lee Rickey Jr., M.D.
- Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1750334017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 7279
- Practice address
- 3511 NW 41St Street
Oklahoma City, OK 73112-3520 - Phone
- (405) 942-9949
- Fax
- (405) 942-9959
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 7279 | OK | Primary |
Addresses
Primary practice location
3511 NW 41St Street
Oklahoma City, OK 73112-3520
Mailing address
3511 NW 41St Street
Oklahoma City, OK 73112-3520
Phone (405) 942-9949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73093504003 | Other | OK | BLLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7279 | OK | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialists Inc. | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Oklahoma City, OK
- NPI 1760646459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1750334017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 NW 41ST STREET",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731123520",
"telephone_number": "405-942-9949",
"fax_number": "405-942-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 NW 41ST STREET",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731123520",
"telephone_number": "405-942-9949",
"fax_number": "405-942-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKEY",
"first_name": "ORVILLE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "7279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLLUE CROSS/BLUE SHIELD",
"identifier": "73093504003",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.