MEDICARE: MELISSA RICKS PA-C

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	363AS0400X	Surgical Physician Assistant	12351552-1206	UT

General Provider Information

NPI Number	:	1255755617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA RICKS PA-C

Provider Business Mailing Address
First Line	:	900 ROUND VALLEY DR
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-7552
Country	:	US
Telephone Number	:	435-655-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 ROUND VALLEY DR
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-7552
Country	:	US
Telephone Number	:	435-655-6600
Fax Number	:

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

Provider Enumeration Date	:	02/05/2014
Last Update Date	:	12/03/2025

Similar Medicare Providers

1013981539 — DR. JOSHUA TURNER NAPIER MD
Practice Location Address:

900 ROUND VALLEY DR
PARK CITY, UT
84060-7552

Practice Phone: 435-658-7400
Practice Fax:

1831085612 — DYLAN CIRULIS DPT
Practice Location Address:

900 ROUND VALLEY DR
PARK CITY, UT
84060-7552

Practice Phone: 658-435-7000
Practice Fax:

1598493827 — JUAN TORRES DPT
Practice Location Address:

900 ROUND VALLEY DR
PARK CITY, UT
84060-7552

Practice Phone: 435-658-7360
Practice Fax:

1407166556 — KARY ELLEN WOODRUFF R.D., M.S., C.D.
Practice Location Address:

900 ROUND VALLEY DR STE 110
PARK CITY, UT
84060-7552

Practice Phone: 435-333-3535
Practice Fax:

1255332656 — DONALD JOHN BRUST MD
Practice Location Address:

900 ROUND VALLEY DR STE 200
PARK CITY, UT
84060-7552

Practice Phone: 435-658-7400
Practice Fax:

1629066469 — DR. MAIRI GAEL LEINING MD
Practice Location Address:

900 ROUND VALLEY DR
PARK CITY, UT
84060-7552

Practice Phone: 435-658-7000
Practice Fax: 530-541-8723

Directions to “ MELISSA RICKS PA-C” 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 © 2007-2025 (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.