Individual provider Active NPI

Morton Sumner Rickless, M.D.

  • Orthopaedic Surgery Physician
  • Anniston, AL
National Provider Identifier
1811095201
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
14546 Issued in AL
Practice address
716 E 10TH St
Suite B
Anniston, AL 36207-4756
Phone
(256) 238-9500
Fax
(256) 238-9524
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 14546 AL Primary

Addresses

Primary practice location

716 E 10TH St
Suite B
Anniston, AL 36207-4756

Mailing address

716 E 10TH St
Suite B
Anniston, AL 36207-4756
Phone (256) 238-9500

Other identifiers 2

IdentifierTypeStateIssuer
51081017OtherALBLUECROSS
000081017MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20101019000197 AL Practitioner - Orthopedic Surgery 1052504487 Practice locations: Anniston, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14546ALMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1811095201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E 10TH ST",
            "address_2": "SUITE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074756",
            "telephone_number": "256-238-9500",
            "fax_number": "256-238-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E 10TH ST",
            "address_2": "SUITE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074756",
            "telephone_number": "256-238-9500",
            "fax_number": "256-238-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKLESS",
        "first_name": "MORTON",
        "middle_name": "SUMNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "14546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "51081017",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000081017",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.