DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1275748212

NPI Code Detail

MEDICARE: RICKIE LLOYD EDGAR M.D.

MEDICARE: RICKIE LLOYD EDGAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	NONE	OH
2	207T00000X	Neurological Surgery Physician	ME145997	FL
3	207T00000X	Neurological Surgery Physician	4301100714	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MI1763058	OTHER	MI	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275748212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICKIE LLOYD EDGAR M.D.

Provider Business Mailing Address
First Line	:	1150 E SHERMAN BLVD STE 2400
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49444-1886
Country	:	US
Telephone Number	:	231-672-4243
Fax Number	:	231-727-4214

Provider Business Practice Location Address
First Line	:	1150 E SHERMAN BLVD STE 2400
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49444-1886
Country	:	US
Telephone Number	:	231-672-4243
Fax Number	:	231-727-4214

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2007
Last Update Date	:	10/13/2023

Similar Medicare Providers

1982615357 — DR. AMY L DEAN D.O.
Practice Location Address:

1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI
49444-1886

Practice Phone: 231-672-6336
Practice Fax: 231-672-6335

1871585166 — STEVEN W HUDER MD
Practice Location Address:

1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI
49444-1886

Practice Phone: 231-672-4243
Practice Fax: 231-727-4214

1013907427 — DR. HANS CHRISTIAN BRUNTMYER D.O.
Practice Location Address:

1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI
49444-1886

Practice Phone: 231-672-6336
Practice Fax: 231-672-6335

1750325437 — MR. HARRISON W JOHNSON M.D.
Practice Location Address:

1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI
49444-1886

Practice Phone: 231-672-4243
Practice Fax: 231-728-4214

1063537819 — MS. THEA N CLOUSE-GAWRONSKI PA-C
Practice Location Address:

1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI
49444-1886

Practice Phone: 231-672-4243
Practice Fax: 231-727-4217

1780840157 — DR. PHILIP T DICKINSON D.D.S., M.S.
Practice Location Address:

1150 E SHERMAN BLVD STE 2700
MUSKEGON, MI
49444-1886

Practice Phone: 231-737-0001
Practice Fax:

Directions to “ RICKIE LLOYD EDGAR M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.