Edward A Ricketts, MD
Internal Medicine in Hermiston, OR. Individual provider (NPI-1).
NPI number1215079710
StatusActive
Last updated in NPPESSep 28, 2007
Details
- NPI
- 1215079710
- Entity type
- Individual (NPI-1)
- Name
- Edward A Ricketts
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2007
- Last updated
- Sep 28, 2007
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 |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD18739 | OR | Yes |
Practice location
600 Nw 11th StSuite109
Hermiston, OR 97838-8602
Phone 541-567-5075
Mailing address
600 Nw 11th StSuite109
Hermiston, OR 97838-8602
Phone 541-567-5075
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