JOHN CLYDE RICKABAUGH (NPI# 1396722534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396722534 |
| Entity Type | Individual |
| Full Name | JOHN CLYDE RICKABAUGH |
| Credential | MD |
| Practice Address |
3608 Medical Park Ct Morehead City NC 28557-4347 |
| Practice Telephone | 2522473476 |
| Practice Fax Number | 2522473478 |
| Mailing Telephone | 2522473476 |
| Mailing Fax Number | 2522473478 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2010-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9400133 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8971397 | 05 |
| Street Address |
3608 MEDICAL PARK CT |
| City | MOREHEAD CITY |
| State | NC |
| Zip Code | 28557-4347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962923342 | Rdmg Associates, Pa | Internal Medicine | 3608 Medical Park Ct, Morehead City, NC 28557-4347 | 2017-07-06 |
| 1013324920 | Jennifer Brown | Nurse Practitioner | 3608 Medical Park Ct, Morehead City, NC 28557-4347 | 2014-07-14 |
| 1487809265 | Sound Medical, P.a. | Family Medicine | 3608 Medical Park Ct, Morehead City, NC 28557-4347 | 2008-11-20 |
| 1124108881 | Margaret Anne Dolan | Physician Assistant | 3608 Medical Park Ct, Morehead City, NC 28557-4347 | 2006-10-17 |
| 1801996285 | Frieda M Menzer | Internal Medicine | 3608 Medical Park Ct, Morehead City, NC 28557-4347 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022929 | Lixue Dong | Audiologist | 5000 Us Highway 70 West, Suite 103, Morehead City, NC 28557 | 2019-06-18 |
| 1235611682 | Kayla Stanton | Pharmacist | 5000 Us Hwy 70 Suite 100, Morehead City, NC 28557 | 2018-09-02 |
| 1154823649 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 5100 Highway 70 W, Morehead City, NC 28557 | 2018-03-01 |
| 1487162434 | Goshen Medical Center, Incorporated | Clinic/Center | 4370a Arendell St, Morehead, NC 28557 | 2018-01-11 |
| 1063953123 | Carteret Landing LLC | Custodial Care Facility | 221 Friendly Road, Morehead City, NC 28557 | 2017-03-09 |
| 1619313277 | 123 Go Kidz | Community/Behavioral Health | 2339 Shore Dr, Morehead City, NC 28557 | 2013-05-22 |
| 1164765855 | Carly Outland Silverthorne | Social Worker | 209 N 35th St Ste A-2, Morehead City, NC 28557 | 2013-04-01 |
| 1639437981 | Jeffrey Theodore Hainsworth | Internal Medicine | 623 N 35th St, Morehead City, NC 28557 | 2012-04-24 |
| 1780993832 | Elizabeth Anne Mills | Pharmacist | 5020 Arendell St., Morehead City, NC 28557 | 2010-10-06 |
| 1306075650 | Friendly Caregivers | In Home Supportive Care | 710 Arendell St., Morehead City, NC 28557 | 2009-07-08 |
| Find all providers in zip 28557 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962872069 | Nova Family Practice | Family Medicine | 4252 Arendell St Ste A, Morehead City, NC 28557-0015 | 2015-10-01 |
| 1033391891 | Robert Anthony Barber | Family Medicine | 3014 Bridges St, Morehead City, NC 28557-3330 | 2007-12-03 |
| 1265611941 | Carolina Age Rejuvenation Clinic LLC | Family Medicine | 208b Penny Ln, Morehead City, NC 28557-4305 | 2007-10-30 |
| 1851411912 | Carolina Age Rejuvenation Clinic | Family Medicine | 208 Penny Ln # B, Morehead City, NC 28557-4305 | 2007-03-30 |
| 1740200856 | Lance C Sweeney | Family Medicine | 5420 Us Highway 70 W, Morehead City, NC 28557-4510 | 2006-07-20 |
| 1033152236 | Margaret Nelsen Harker | Family Medicine | 3608 Medical Park Court, Morehead City, NC 28557 | 2006-06-14 |
| 1770574022 | Earl Anthony Frantz | Family Medicine | 3714 Guardian Ave Ste E, Morehead City, NC 28557-2975 | 2005-11-03 |
| 1710977087 | Thomas Lloyd Kirtley Jr. | Family Medicine | 4252 Arendell St, Suite A, Morehead City, NC 28557-0010 | 2005-10-26 |
| 1760488175 | Joseph F Nutz Jr. | Family Medicine | 3004 Bridges St, Morehead City, NC 28557-3330 | 2005-06-22 |
| 1538785100 | Carolinaeast Physicians | Family Medicine | 4218 Arendell St, Morehead City, NC 28557-2866 | 2020-06-19 |
| Find all providers in MOREHEAD CITY | ||||
| City | MOREHEAD CITY |
| Zip Code | 28557 |
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| 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.