Ricky Lee Milbourne Jr., CSA, LSA
Specialist/Technologist, Other, Surgical Assistant in Chesapeake, VA. Individual provider (NPI-1).
NPI number1003663014
StatusActive
Last updated in NPPESMay 6, 2024
Details
- NPI
- 1003663014
- Entity type
- Individual (NPI-1)
- Name
- Ricky Lee Milbourne Jr.
- Credential
- CSA, LSA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2024
- Certification date
- May 6, 2024
- Last updated
- May 6, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 0136000535 | VA | Yes |
Practice location
844 Battlefield Blvd NChesapeake, VA 23320-4802
Phone 757-312-6800
Mailing address
5103 Tanglewood CtSuffolk, VA 23435-2637
Phone 703-965-6239
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 23 Surgical Assistant providers in Chesapeake · All 5,503 providers in Chesapeake
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