Richard Wa Rickman LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

049332 Issued in GA

Legal business name

RICHARD WA RICKMAN LLC

Practice address

2804 N Oak St
Suite a
Valdosta, GA 31602-5914

Phone

(229) 469-7730

Fax

(229) 469-7729

NPI assigned

Mar 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Richard Rickman, M.D.

Title

Medical Doctor

Phone

(229) 469-7729

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kemberly Amanda Stone, PA-C

  • Physician Assistant
  • Lake Park, GA
  • NPI 1639208333
  NPD

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1790147908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 N OAK ST",
            "address_2": "SUITE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025914",
            "telephone_number": "229-469-7730",
            "fax_number": "229-469-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 N OAK ST",
            "address_2": "SUITE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025914",
            "telephone_number": "229-469-7730",
            "fax_number": "229-469-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD WA RICKMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-26",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "RICKMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "229-469-7729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "049332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Rhodes, PT
• Joshua T Rhue, DPT
• Ashley Rhys, MS, LMFT
• Richard J. Nijem & William C Nijem PTR
• Richard J. Nijem, M.D., P.C.
• Ghari N Richardson, MD
• Lindsey Marie Richardson, DMD
• Joseph Lee Ricketson, DPT
• Richard W Rickman, M.D.
• Bradley Gene Ridge, P.A.-C

• Preferred Provider Organization in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.