Richard Kent Ticer, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

2402 Issued in OK

Practice address

10109 E 79TH St
Tulsa, OK 74133-4564

Phone

(918) 286-5000

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Oklahoma State University College of Osteopathic Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rticer471182@ahs.direct-ci.com

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.

• Integral Anesthesia, LLC

  • Anesthesiology Physician
  • Jenks, OK
  • NPI 1881041515
  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  OK

  Medicare reassignment NPD
• Western Arkansas Anesthesiology Associates P.a.

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1548202294
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. John Broken Arrow, Inc

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1780630178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9543 E 81ST ST",
            "address_2": "APT 603",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741338110",
            "telephone_number": "918-994-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564",
            "telephone_number": "918-286-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICER",
        "first_name": "RICHARD",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-2672",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34-004298T",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0799695",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brock Douglas Thurman
• Christopher C Thurman, D.O.
• Shari Peacock Thurman
• Donald Glynn Tibbitts
• Shawna L. Tibbles, MMFT
• Landen Tidrick
• Jacalyn R Tidwell
• Mary C Tidwell, LPC
• Deborah E Tiernan, APRN, FNP-C
• Allison Tiger

• Anesthesiology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.