Ricardo De Olivaes Lacerda, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

LL 29089 Issued in SC

Practice address

171 Ashley Ave
Charleston, SC 29425-0001

Phone

(843) 792-1414

NPI assigned

Oct 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992880181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CANNON ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035717",
            "telephone_number": "843-324-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250001",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAES LACERDA",
        "first_name": "RICARDO",
        "middle_name": "DE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "LL 29089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Olar, M.D.
• Clayton A Olash
• John Olayer, CRNA
• Albert Drane Oliphant IV, DMD, MD
• Cynthia Marie Oliva, M.D.
• William Samuel Olive, DO
• Diana Oliver
• Maggee Rebekkah Oliver, PHARMD
• Amelia Gibson Ollis, PHYSICAL THERAPIST
• Jeffrey Allen Ollis II, MD

• Vascular & Interventional Radiology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Vascular & Interventional Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.