DR. ROBERT MASON RICKETTS JR. (NPI# 1699954602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699954602 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MASON RICKETTS JR. |
| Credential | M.D. |
| Practice Address |
1011 Baltimore Blvd Suite E Westminster MD 21157-7055 |
| Mailing Address |
1011 Baltimore Blvd Westminster MD 21157-7055 |
| Practice Telephone | 4104695001 |
| Mailing Telephone | 4104695001 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2015-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0039296 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 066921102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083675052 | Robert Karl Ricketts | Chiropractor | 1400 University Avenue, Suite B, Dubuque, IA 52001 | 2006-03-30 |
| 1497152847 | Robert Ricketts | Dentist | 122 Wilkesboro Ave, North Wilkesboro, NC 28659-4218 | 2014-12-01 |
| 1467749606 | Robert Mason Ricketts IIi | Anesthesiology | 1800 Orleans Street, Bloomberg 6321, Baltimore, MD 21287-0010 | 2011-07-08 |
| 1982834198 | Robert Modesto Ricketts | Family Medicine | 1701 South Blvd E, Suite 150, Rochester Hills, MI 48307-6122 | 2009-07-22 |
| 1861444051 | Robert William Ricketts | Counselor | 1150 Estates Dr, Suite A, Abilene, TX 79602-4295 | 2006-05-16 |
| 1720069123 | Robert Ricketts | Family Medicine | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2005-11-11 |
| Street Address |
1011 BALTIMORE BLVD SUITE E |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932178811 | Alexander Bogdaschewskyi | Legal Medicine | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2006-03-14 |
| 1225653272 | Lifebridge Community Physicians | Orthopaedic Surgery | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2020-06-15 |
| 1326699919 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2019-09-25 |
| 1881130581 | Elise Kay Egolf | Physical Therapist | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2017-01-18 |
| 1548653884 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2015-03-11 |
| 1225428915 | Lifebridge Community Physicians, Inc | Internal Medicine | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2015-02-02 |
| 1083002281 | Progressive Radiology of Westminster LLC | Radiology | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2014-12-23 |
| 1386045441 | Lifebridge Community Physicians, Inc | Internal Medicine | 1011 Baltimore Blvd, Westminster, MD 21157-7055 | 2014-09-09 |
| 1093141616 | Lifebridge Community Physicians, Inc | Internal Medicine | 1011 Baltimore Blvd, Dr Alexander Bogdaschewskyi, Westminster, MD 21157-7055 | 2013-09-16 |
| 1093042012 | Mnr Industries, LLC | Clinic/Center | 1011 Baltimore Blvd, Westminster, MD 21157-7023 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835507 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 12000 Pecos St Ste 250, Westminster, CO 80234-3491 | 2020-06-10 |
| 1164968905 | Mischa Fincher | Specialist | 13648 Orchard Pkwy Unit 700, Westminster, CO 80023-9207 | 2017-01-18 |
| 1619429222 | Britt Burr | Specialist | 414 Poole Rd, Apt. C1, Westminster, MD 21157-6065 | 2016-10-30 |
| 1770902876 | Lisa Lorenzen | Specialist | 12172 Melody Drive, Westminster, CO 80234 | 2014-04-16 |
| 1649698051 | Tanya Lea Stemmerman | Specialist | 14350 Osage St, Westminster, CO 80023-8443 | 2014-04-02 |
| 1376970715 | Christine Rose Williams | Specialist | 1830 W 135th Ave, Westminster, CO 80234-1057 | 2013-09-30 |
| 1871866608 | Shin Young Kim | Specialist | 7171 Trask Ave, Westminster, CA 92683-2671 | 2012-02-09 |
| 1639448731 | Victor Escolar-chua | Specialist | 5225 Saint George Rd, Westminster, CA 92683-4146 | 2011-12-19 |
| 1760765754 | Venus Health Inc | Specialist | 15496 Magnolia St Ste 200, Westminster, CA 92683-6407 | 2011-09-26 |
| 1255657896 | Timothy Newton | Specialist | 3301 Ridge Road, Westminster, MD 21157 | 2010-04-07 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.