# ROBERT MASON RICKETTS III

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1467749606
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 0101277346 | VA | Yes |
| 207L00000X | Anesthesiology Physician | 60644 | KY | — |
| 207L00000X | Anesthesiology Physician | D88820 | MD | — |
| 207LP3000X | Pediatric Anesthesiology Physician | 60644 | KY | — |
| 207RC0000X | Cardiovascular Disease Physician | 0101277346 | VA | — |
| 208000000X | Pediatrics Physician | D88820 | MD | — |

## Other

- **Enumeration date:** 07/08/2011
- **Last updated:** 08/04/2025