Richard K Niccum, MD | |
2121 Lake Ave, Fort Wayne, IN 46805-5100 | |
(260) 426-5431 | |
Not Available |
Full Name | Richard K Niccum |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2121 Lake Ave, Fort Wayne, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417907122 | NPI | - | NPPES |
200210570 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01037769A (Indiana) | Primary |
Mailing Address | Practice Location Address |
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Richard K Niccum, MD 3460 N State Road 109, Columbia City, IN 46725-8953 Ph: (260) 229-1714 | Richard K Niccum, MD 2121 Lake Ave, Fort Wayne, IN 46805-5100 Ph: (260) 426-5431 |
Dr. Danyelle R Aber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000 | |
Amy Souers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000 | |
Aeden J Ligon, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9216 Crystal Spring Dr, Fort Wayne, IN 46804 Phone: 765-480-9828 | |
Albert V Emilian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10343 Dawsons Creek Blvd, Suite A, Fort Wayne, IN 46825 Phone: 260-203-9600 Fax: 260-739-6167 | |
Dr. Janardhanan V Davy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd Ste 2121, Fort Wayne, IN 46804 Phone: 260-435-2937 | |
Dr. Elmer Toliver, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 | |
Bruce Sowers, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 |