Physician Compare National (NPI:1235112236)

HEALTHCARE PROVIDER: DEANNA P. RICKER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1235112236
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062696644
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110405001069
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RICKER
	Individual professional last name
Provider First Name	DEANNA
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	105 CHESTNUT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 27
	Group Practice or individual's line 2 address
City	NEEDHAM
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	024922520
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y