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).
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210024 | MEDSTAR UNION MEMORIAL HOSPITAL |
210056 | MEDSTAR GOOD SAMARITAN HOSPITAL |
100291 | STEWARD MELBOURNE HOSPITAL |
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 Legal Name | CENTRAL BREVARD ANESTHESIOLOGISTS PA |
Physicians | 25 |
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 |
Street Address |
110 LONGWOOD AVE |
City | ROCKLEDGE |
State | FL |
Zip | 32955-2828 |
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 |
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 |
City | ROCKLEDGE |
Zip Code | 32955 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | ROCKLEDGE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Rickey D King.
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.