John M Ricketts (NPI# 1053520874, PAC ID# 4385604180) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1053520874 |
| PAC ID by PECOS | 4385604180 |
| Professional Enrollment ID | I20041015000627 |
| Full Name | John M Ricketts |
| Organization Legal Name | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Address |
946 E Reed St Hayti MO 63851-1243 |
| Phone Number | 5733593408 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1976 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8426024159 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260070 | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 946 E Reed St, Hayti, MO 63851-1243 | 5733593408 | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Bernard | Family Medicine | Pemiscot County Memorial Hospital | 106 W 12th St, Caruthersville, MO 63830-1890 |
| Lara Huffman | Psychiatry | Pemiscot County Memorial Hospital | 106 W 12th St, Caruthersville, MO 63830-1890 |
| Stephen A Smith | Family Medicine | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| William M Steely | Podiatry | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| Ewane C Ngone | Family Medicine | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| Abdul N Naushad | Pain Management | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| Babatunde Oladiran | General Surgery | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| Street Address |
946 E REED ST |
| City | HAYTI |
| State | MO |
| Zip | 63851-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica D Scheffer | Family Medicine | 946 E Reed St, Hayti, MO 63851-1243 | |
| Stephen A Smith | Family Medicine | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| James G Hazel Jr. | Diagnostic Radiology | 946 E Reed St, Hayti, MO 63851-1243 | |
| William M Steely | Podiatry | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| Ewane C Ngone | Family Medicine | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| Abdul N Naushad | Pain Management | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| Babatunde Oladiran | General Surgery | Pemiscot County Memorial Hospital | 946 E Reed St, Hayti, MO 63851-1243 |
| Ariel J Gonzalez | Obstetrics/gynecology | Gonzalez and Scheffer LLC | 946 E Reed St, Hayti, MO 63851-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea C Jasdanwala | Nurse Practitioner | Family Counseling Center Inc | 500 Hwy J, Hayti, MO 63851-1200 |
| Abdullah Arshad | Internal Medicine | 907 E Reed St, Hayti, MO 63851-1242 | |
| Ghaith Khair | General Surgery | 946 E Reed, Hayti, MO 63851-1243 | |
| Karyn Dean | Nurse Practitioner | Southeast Missouri Health Network | 223 S 3rd St, Hayti Medical Clinic, Hayti, MO 63851-1617 |
| Ladonna J Williams | Nurse Practitioner | 215 S 3rd St, Hayti, MO 63851-1617 |
| City | HAYTI |
| Zip Code | 63851 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HAYTI + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on John M Ricketts.
| 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.