Individual
DR. THOMAS ANDREW RICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01064536A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000560077
ANTHEM
IN
01
—
000000560077
ANTHEM
KY
01
—
129703800
US DEPT OF LABOR
IN
01
—
134960I
UNICARE-MEDICARE
IN
01
—
200901810
MDWISE
IN
05
—
200901810
—
IN
01
—
3704439000
PASSPORT ADVANTAGE
—
01
—
50023154
PASSPORT
—
05
—
7100083790
—
KY
01
—
P00614640
RAILROAD MEDICARE
IN
Enumeration date
04/08/2008
Last updated
05/12/2016
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