MEDICARE: DR. AMY D RICCIO MD

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	208000000X	Pediatrics Physician	0101045632	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	233010	OTHER		MDIPA/MAMSI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	13842	OTHER		OPTIMA
5	330030	OTHER	VA	ANTHEM
6	006706223	OTHER		VA PREMIER
7	541778706001	OTHER		TRICARE

General Provider Information

NPI Number	:	1588602973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY D RICCIO MD

Provider Business Mailing Address
First Line	:	171 KEMPSVILLE RD
Second Line	:	BUILDING B
City	:	NORFOLK
State	:	VA
Zip	:	23502-4700
Country	:	US
Telephone Number	:	757-668-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 KEMPSVILLE RD
Second Line	:	BUILDING B
City	:	NORFOLK
State	:	VA
Zip	:	23502-4700
Country	:	US
Telephone Number	:	757-668-6500
Fax Number	:

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	01/04/2013

Similar Medicare Providers

1588187553 — ASHLEIGH R HAYES PA-C
Practice Location Address:

171 KEMPSVILLE RD
NORFOLK, VA
23502-4700

Practice Phone: 757-668-6575
Practice Fax:

1467427773 — DR. RAMON A MATAWARAN MD
Practice Location Address:

171 KEMPSVILLE RD BLDG A
NORFOLK, VA
23502-4700

Practice Phone: 757-975-4695
Practice Fax: 757-852-0699

1346218195 — CARA D NOVICK MD
Practice Location Address:

171 KEMPSVILLE RD , BUILDING A
NORFOLK, VA
23502-4700

Practice Phone: 757-668-6550
Practice Fax: 757-668-6544

1720026115 — DR. JAMES W MINK MD
Practice Location Address:

171 KEMPSVILLE RD , BUILDING B
NORFOLK, VA
23502-4700

Practice Phone: 757-668-6500
Practice Fax:

1386682789 — DR. LYNELLE W SLADE-BYRD MD
Practice Location Address:

171 KEMPSVILLE RD , BUILDING B
NORFOLK, VA
23502-4700

Practice Phone: 757-668-6500
Practice Fax:

1639117047 — DR. CONSTANCE M KEVORKIAN MD
Practice Location Address:

171 KEMPSVILLE RD , BUILDING B
NORFOLK, VA
23502-4700

Practice Phone: 757-668-6500
Practice Fax:

Directions to “ DR. AMY D RICCIO MD” 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.