# DR. SAMUEL JAMES RICKERL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437103736
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 036102988 | IL | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD-31160 | IA | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 12/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0137570 | — | IA |
| 01 | — | 023235 | HEALTH ALLIANCE | — |
| 01 | — | 19351 | MIDLANDS CHOICE | — |
| 01 | — | 27198 | IOWA HEALTH SOLUTIONS | — |
| 01 | — | 55200 | WELLMARK BC/BS | IA |
| 01 | — | IA0165 | JOHN DEERE HEALTH | — |