DR. RICKEY D MEDLOCK (NPI# 1366424996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366424996 |
| Entity Type | Individual |
| Full Name | DR. RICKEY D MEDLOCK |
| Credential | M.D. |
| Practice Address |
9800 Baptist Health Dr Ste 200 Little Rock AR 72205-6243 |
| Mailing Address |
2200 Broadway St Little Rock AR 72206-1358 |
| Practice Telephone | 5012190900 |
| Practice Fax Number | 5013124750 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
C6445 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
9800 BAPTIST HEALTH DR STE 200 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174729016 | Paul Michael Hruby | Internal Medicine | 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205-6243 | 2007-06-26 |
| 1255350021 | John King | Ophthalmology | 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205-6243 | 2006-07-19 |
| 1851373484 | Gerald T Ware | Ophthalmology | 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205-6243 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235345414 | Cedric Pratt | Ophthalmology | 9800 Baptist Health Dr Ste 501, Little Rock, AR 72205 | 2007-05-15 |
| 1326256918 | Stephen James Davis | Ophthalmology | 9800 Baptist Health Dr, Suite 501, Little Rock, AR 72205 | 2007-05-18 |
| 1184633075 | Bradley Milton Hughes | Ophthalmology | 9800 Baptist Health Dr, Suite 501, Little Rock, AR 72205 | 2006-08-07 |
| 1255350021 | John King | Ophthalmology | 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205-6243 | 2006-07-19 |
| 1447234760 | William Thomas Mabrey | Ophthalmology | 9800 Baptist Health Dr, Ste 501, Little Rock, AR 72205 | 2005-11-30 |
| 1851373484 | Gerald T Ware | Ophthalmology | 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205-6243 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366474538 | Serrhel G Adams Jr. | Ophthalmology | 5501 Willow Creek Dr Ste 203b, Springdale, AR 72762-8708 | 2006-07-07 |
| 1588648992 | Magie Mabrey Eye Clinic, P A | Ophthalmology | 924 Main St, Conway, AR 72032 | 2005-11-30 |
| 1205461944 | Serrhel Adams Jr Md Pllc | Ophthalmology | 5501 Willow Creek Dr Ste 203b, Springdale, AR 72762-8708 | 2020-03-03 |
| 1700057361 | Northwest Arkansas Retina Associates, P.a. | Ophthalmology | 5501 Willow Creek Dr Ste 203b, Springdale, AR 72762-8708 | 2008-03-21 |
| 1306820360 | Stephen Kyle Magie | Ophthalmology | 924 Main St, Conway, AR 72032 | 2005-12-02 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on DR. RICKEY D MEDLOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.