RICKEY RODGER MARTIN PA
NPI 1023027737
Physician Assistant - Medical in Fort Leonard Wood, MO

Active since August 05, 2006
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-0417(573) 596-0524 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rickey Rodger Martin Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICKEY RODGER MARTIN PA (NPI 1023027737) is an individual medical provider in Fort Leonard Wood, Missouri and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023027737
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRICKEY RODGER MARTINCredential: PA
Location Address126 MISSOURI AVEFort Leonard Wood, MO 65473-8952
Mailing Address126 Missouri AveFort Leonard Wood, MO 65473-8952 · (573) 596-0417 · Fax (573) 596-0524
Fax(573) 596-0524
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1023027737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
126 MISSOURI AVE, Fort Leonard Wood, MO 65473

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Specialist/Technologist, Pathology (Immunology)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Respiratory Therapist, Certified
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Physical Therapy Assistant
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Licensed Practical Nurse
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Specialist/Technologist (Audiology Assistant)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Registered Nurse (Emergency)
126 MISSOURI AVE
FT. LEONARD WOOD, MO 65473
Pediatrics
126 MISSOURI AVE, ATTN: MCXP-CCS-CR (CREDENTIALS)
FORT LEONARD WOOD, MO 65473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rickey Martin's NPI number?

The NPI number for Rickey Martin is 1023027737. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Rickey Martin located?

Rickey Martin practices at 126 Missouri Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0417.

What is Rickey Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Rickey Martin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.