Individual
DR. PETER EDWARD RICCI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-34796
KS
2085R0202X
Diagnostic Radiology Physician
17633
HI
2085R0202X
Diagnostic Radiology Physician
25241
NE
2085R0202X
Diagnostic Radiology Physician
29742
TN
2085R0202X
Diagnostic Radiology Physician
Primary
37631
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000343822
HMSA ALL PRODUCTS
HI
05
—
02300278
—
NY
05
—
10025709000
—
NE
05
—
104686329
—
MI
05
—
1679513196
—
UT
05
—
1679524904
—
ID
05
—
1679524904
—
MT
05
—
1679524904
—
WY
05
—
1679524904/7729320
—
SD
05
—
1679524909
—
CT
05
—
200424910A
—
KS
05
—
21183023
—
NM
01
—
300105816
RAILROAD MEDICARE RIA
CO
01
—
300105817
RAILROAD MEDICARE MIC
CO
05
—
52953343
—
CO
05
—
663883
—
AZ
05
—
84-059792913
—
NE
01
—
CO305959
MEDICARE TRAILBLAZER RIN
NE
05
—
MD002CO
—
AK
01
—
NA1214054
RIN MCR WPS NA1214
NE
01
—
NA1215054
RIN WPS MCR NA1215
NE
Enumeration date
05/12/2006
Last updated
03/31/2024
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