Jon Michael Riccitello, M.D.C.M.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

BP1-0022279 Issued in TX

Practice address

14707 E 2ND Ave
Suite 210
Aurora, CO 80011-8965

Phone

(720) 857-6117

NPI assigned

Oct 11, 2007

Last updated

Jul 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1942498118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 E 2ND AVE",
            "address_2": "SUITE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118965",
            "telephone_number": "720-857-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 E 2ND AVE",
            "address_2": "SUITE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118965",
            "telephone_number": "720-857-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCITELLO",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.C.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-0022279",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "BP1-0022279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Riat
• Ellen Melissa Ribar, MD
• Anthony Ribarich, PA
• Andrew Ricci, DDS
• Lindsey Reed Ricci, MD
• Margaret Anne Riccobono, PA
• Emily Rose Riccomini
• Alannah Rice
• Cari N Rice, PHARMD
• Dejanae Rice

• Aerospace Medicine Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Aerospace Medicine Physician in Colorado

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