Organization Active NPI

Eric Rickin MD LLC

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1982224655
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ERIC RICKIN MD LLC
Practice address
1386 Old Freeport Rd Ste 1Af
Pittsburgh, PA 15238-3115
Phone
(412) 407-7876
Fax
(918) 398-9125
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Dr. Eric David Rickin, MD
Title
Doctor/Owner
Phone
(412) 407-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1386 Old Freeport Rd Ste 1Af
Pittsburgh, PA 15238-3115

Mailing address

1386 Old Freeport Rd Ste 1Af
Pittsburgh, PA 15238-3115
Phone (412) 407-7876

Other practice location 1

102 Lexington Ave Ste 2
Aspinwall, PA 15215-3257
Phone (412) 721-0303

Other identifiers 1

IdentifierTypeStateIssuer
101375417MedicaidPA

National Provider Directory

National Provider Directory

Locations

102 Lexington Ave
Ste 2
Pittsburgh, PA 15215
Phone (412) 407-7876

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1982224655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 OLD FREEPORT RD STE 1AF",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383115",
            "telephone_number": "412-407-7876",
            "fax_number": "918-398-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 OLD FREEPORT RD STE 1AF",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383115",
            "telephone_number": "412-407-7876",
            "fax_number": "918-398-9125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Lexington Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Aspinwall",
            "state": "PA",
            "postal_code": "152153257",
            "country_code": "US",
            "telephone_number": "412-721-0303",
            "fax_number": "877-563-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC RICKIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "RICKIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "412-407-7876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101375417",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.