Rickey D King
CENTRAL BREVARD ANESTHESIOLOGISTS PA


Address: 110 Longwood Ave, Rockledge, FL 32955-2828
Phone: 3216362211

Rickey D King (NPI# 1104041862, PAC ID# 0446356380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1104041862
PAC ID by PECOS 0446356380
Professional Enrollment ID I20180828000325
Full Name Rickey D King
Organization Legal Name CENTRAL BREVARD ANESTHESIOLOGISTS PA
Address 110 Longwood Ave
Rockledge
FL 32955-2828
Phone Number 3216362211
Gender M
Graduation Year 2003
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 3577477314
Number of Group Practice Members 24
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210024 MEDSTAR UNION MEMORIAL HOSPITAL
210056 MEDSTAR GOOD SAMARITAN HOSPITAL
100291 STEWARD MELBOURNE HOSPITAL

Other Locations

Address Phone Organization
201 E University Pkwy, Mmg Anesthesiology At Mumh, Baltimore, MD 21218-2829 4105542651 MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC
5601 Loch Raven Blvd, Baltimore, MD 21239-2945 4434443704 MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC
110 Longwood Ave, Rockledge, FL 32955-2828 3216362211 CENTRAL BREVARD ANESTHESIOLOGISTS PA

Organization Information

Organization Legal Name CENTRAL BREVARD ANESTHESIOLOGISTS PA
Physicians 25

Physicians with the same organization

Name Specialty Organization Address
Joseph S Babb Certified Registered Nurse Anesthetist (crna) Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625
Nathaniel M Bolli Anesthesiology Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625
Peter O Haughie Anesthesiology Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625
Scott J Newman Certified Registered Nurse Anesthetist (crna) Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625
Tyler G Haskell Anesthesiology Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625
Holly L Russo Certified Registered Nurse Anesthetist (crna) Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625
Joshua R Reynolds Anesthesiology Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625
Kimberly A Anselmo Certified Registered Nurse Anesthetist (crna) Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625
Noah A Haner Certified Registered Nurse Anesthetist (crna) Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625
Katrina S Vantassel Certified Registered Nurse Anesthetist (crna) Central Brevard Anesthesiologists Pa 250 N Wickham Rd, Melbourne, FL 32935-8625

Office Location

Street Address 110 LONGWOOD AVE
City ROCKLEDGE
State FL
Zip 32955-2828

Physicians in the same location

Name Specialty Organization Address
Caleb Long Internal Medicine Rockledge Physician Services, LLC 110 Longwood Ave, Rockledge, FL 32955-2828
Jonathan A Pinto Internal Medicine Rockledge Physician Services, LLC 110 Longwood Ave, Rockledge, FL 32955-2828
Frederick C Ward Emergency Medicine Rockledge Emergency Group LLC 110 Longwood Ave, Rockledge, FL 32955-2828
Crisostomo V Lacano Diagnostic Radiology Radiology Associates of Rockledge LLP 110 Longwood Ave, Rockledge, FL 32955-2828
Victor E Toro Diagnostic Radiology Radiology Associates of Rockledge LLP 110 Longwood Ave, Rockledge, FL 32955-2828
Jan L Gardner Nurse Practitioner Rockledge Physician Services, LLC 110 Longwood Ave, Rockledge, FL 32955-2828
Imad Abossallue Internal Medicine Rockledge Physician Services, LLC 110 Longwood Ave, Rockledge, FL 32955-2828
David D Stewart Hospitalist Rockledge Physician Services, LLC 110 Longwood Ave, Rockledge, FL 32955-2828
Umair Khan Internal Medicine Rockledge Physician Services, LLC 110 Longwood Ave, Rockledge, FL 32955-2828
Edward Cho-i Lin Emergency Medicine Rockledge Emergency Group LLC 110 Longwood Ave, Rockledge, FL 32955-2828
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Debra L Babcock Physician Assistant Cynthia H Halcin Md Pa 830 Executive Lane, Suite 110, Rockledge, FL 32955
Cynthia H Halcin Dermatology Cynthia H Halcin Md Pa 830 Executive Lane, Suite 110, Rockledge, FL 32955
Luis E Dezayas Ophthalmology 1282 S Us, Suite 2, Rockledge, FL 32955
Ralph P Page Internal Medicine 1026 Florida Ave S, Ralph P Page Md Inc, Rockledge, FL 32955-2132
Patricia S Wesley Chiropractic 1014 Florida S Ave, Rockledge, FL 32955-2132
James C Giebink Radiation Oncology 1033 Florida Ave S, Rockledge, FL 32955-2138
Mary S Kyle Qualified Audiologist Brevard Ear Nose and Throat Center Pa 1099 Florida S Ave, Rockledge, FL 32955-2138
Rachel Michele Crain Otolaryngology Brevard Ear Nose and Throat Center Pa 1099 Florida S Ave, Rockledge, FL 32955-2138
Thomas Scott Holt Otolaryngology Brevard Ear Nose and Throat Center Pa 1099 Florida S Ave, Rockledge, FL 32955-2138
Ronald A Burk Otolaryngology Brevard Ear Nose and Throat Center Pa 1099 Florida S Ave, Rockledge, FL 32955-2138
Find all physicians in zip 32955

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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