RICKY REAVES (NPI# 1518987817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518987817 |
| Entity Type | Individual |
| Full Name | RICKY REAVES |
| Credential | M.D. |
| Practice Address |
3509 French Park Dr Ste D Edmond OK 73034-7296 |
| Practice Telephone | 4057154500 |
| Mailing Telephone | 4057154500 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
16463 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100746640A | 05 | |
| TAX ID/GROUP MEDICARE | 731527740 | 01 |
| Street Address |
3509 FRENCH PARK DR STE D |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-7296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508835414 | Glen D Houston | Dentist | 3509 French Park Dr, Suite D, Edmond, OK 73034-7296 | 2006-03-14 |
| 1578714721 | Heartland Pathology Consultants, PCs | General Practice | 3509 French Park Dr, Suite D, Edmond, OK 73034-7296 | 2008-10-07 |
| 1306985569 | James Keith Cooper | Radiology | 3509 French Park Dr, Ste E, Edmond, OK 73034-7291 | 2007-02-05 |
| 1588685143 | Sherrita Cotton Wilson | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-21 |
| 1700806742 | Mary Caroline Holmboe | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1871513218 | Ruth H Oneson | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1477573848 | Hatton W Sumner | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1073530812 | Barry Michael Rockler | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-17 |
| 1447280474 | Heartland Pathology Consultants, PC | Clinical Medical Laboratory | 3509 French Park Dr, Suite D, Edmond, OK 73034-7296 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588685143 | Sherrita Cotton Wilson | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-21 |
| 1700806742 | Mary Caroline Holmboe | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1871513218 | Ruth H Oneson | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1477573848 | Hatton W Sumner | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1073530812 | Barry Michael Rockler | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| 1437193737 | Tamar Baruch-finkel | Pathology | 225 Ne 97th St Ste 600, Oklahoma City, OK 73114-6302 | 2006-06-16 |
| 1801836697 | Joy Snell, Md Inc | Pathology | 5404 Sw Daun, Lawton, OK 73505-6025 | 2006-06-08 |
| 1851652275 | Anand Annan | Pathology | 940 Sl Young Blvd, Oklahoma City, OK 73104-5020 | 2012-06-01 |
| 1548412331 | Christine Vanbeek | Pathology | 225 Ne 97th St, #600, Oklahoma City, OK 73114-6302 | 2008-10-13 |
| 1861674251 | Shujath Ali Khan Md PC | Pathology | 8121 National Ave, Suite 401, Midwest City, OK 73110-7530 | 2007-11-28 |
| 1548466956 | Rebecca A Sager | Pathology | 1200 E Pecan St, Altus, OK 73521-6141 | 2007-06-22 |
| 1518043322 | Jan V Pitha | Pathology | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-10-27 |
| 1013923739 | Alexis A Harris Snead | Pathology | 225 Ne 97th St Ste 600, Oklahoma City, OK 73114-6302 | 2006-08-01 |
| 1184693996 | Roy R Zhang | Pathology | 940 Stanton L Young Blvd, Bms-451, Oklahoma City, OK 73104-5020 | 2006-03-15 |
| Find all providers with the same taxonomy | ||||
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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.