MICHAEL CHARLES TRICOCI (NPI# 1619105103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619105103 |
Entity Type | Individual |
Full Name | MICHAEL CHARLES TRICOCI |
Credential | MD |
Practice Address |
412 N Monroe St Williamsport IN 47993-1049 |
Mailing Address |
2800 W Liberty Church Rd Covington IN 47932-8038 |
Practice Telephone | 7657624050 |
Mailing Telephone | 3123994935 |
Enumeration Date | 2009-06-23 |
Last Update Date | 2020-05-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 01071498A | IN | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 01071498A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201083110 | 05 |
Street Address |
412 N MONROE ST |
City | WILLIAMSPORT |
State | IN |
Zip Code | 47993-1049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831167931 | Richard Thompson Gripe | Orthopaedic Surgery | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-03-14 |
1609346923 | Kelszie Danielle Morgan | Physician Assistant | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-11-29 |
1235611625 | Jeffrey M Tessman | Nurse Practitioner | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-08-31 |
1952891269 | Iema Indiana | Emergency Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-05-11 |
1750774576 | Wolfe Neurology, LLC | Psychiatry & Neurology | 412 N Monroe St, Williamsport, IN 47993-1049 | 2015-03-18 |
1477966778 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 412 N Monroe St, Williamsport, IN 47993-1049 | 2014-06-04 |
1881758852 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-12-21 |
1427128404 | St. Vincent Williamsport Hospital | General Acute Care Hospital | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-11-08 |
1548297567 | Thomas Ringer | Emergency Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-06-26 |
1992731749 | Sean Sharma | Internal Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-06-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568782613 | Anita Michelle Rice | Occupational Therapy Assistant | Waters of Williamsport, 200 Short St., Williamsport, IN 47993 | 2010-06-10 |
1053404541 | Msd of Warren County | Local Education Agency (LEA) | 101 N Monroe Street, Williamsport, IN 47993 | 2006-10-02 |
1518328236 | Alexis Smith | Specialist/Technologist | 23 Willow Ct, Williamsport, IN 47993 | 2016-03-08 |
1689872426 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993 | 2007-07-03 |
1396772612 | Steven Fischer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-26 |
1538195391 | William Ringer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-24 |
1659366151 | Quality Life Care, LLC | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993-1031 | 2005-09-12 |
1194044644 | Kevin D. Smith | Occupational Therapy Assistant | 200 Short St, Williamsport, IN 47993-1031 | 2010-05-24 |
1578940417 | Lafayette Pain Care, P.C. | Durable Medical Equipment & Medical Supplies | 3728 South Reed Road, Williamsport, IN 47993-1049 | 2015-04-29 |
1083829394 | Community Action Program, Inc. of Western In | Technician | 22 W 2nd St, Williamsport, IN 47993-1118 | 2007-05-11 |
Find all providers in zip 47993 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467744375 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 1953 E 3rd St, Williamsport, PA 17701-3901 | 2011-05-11 |
1700181054 | Arno Vosk | Emergency Medicine | 463 Pleasant Hill Ln, Williamsport, PA 17702-8285 | 2011-01-18 |
1992359798 | Susquehanna Physician Services | Emergency Medicine | 700 High St, Williamsport, PA 17701-3100 | 2019-07-30 |
1952891269 | Iema Indiana | Emergency Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-05-11 |
1598290181 | Allison Aileen Harford | Emergency Medicine | 700 High St, Williamsport, PA 17701-3100 | 2017-04-20 |
1326493180 | Adrian S Brandau | Emergency Medicine | 700 High St, Williamsport, PA 17701-3100 | 2016-04-29 |
1023404217 | Joshua Morley | Emergency Medicine | 700 High St, Williamsport, PA 17701 | 2015-04-14 |
1407262108 | Alejandro Ramon-cubillos | Emergency Medicine | 700 High St, Williamsport, PA 17701-3100 | 2014-07-02 |
1336553841 | Anni Xu | Emergency Medicine | 700 High St, Williamsport, PA 17701-3100 | 2014-06-12 |
1093956906 | Rebecca Lauren Schulman | Emergency Medicine | 700 High St, Williamsport, PA 17701-3100 | 2009-03-23 |
Find all providers in WILLIAMSPORT |
City | WILLIAMSPORT |
Zip Code | 47993 |
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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.