Provider Demographics
NPI:1811935133
Name:PLACIDE, RICKY JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:RICKY
Middle Name:JAMES
Last Name:PLACIDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:417 N 11TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5002
Practice Address - Country:US
Practice Address - Phone:804-828-7069
Practice Address - Fax:804-828-4762
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234633207X00000X, 207X00000X
VA101234633207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA540885859OtherFOCUS
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA540885859OtherCORVEL
VA010012848Medicaid
VA540885859OtherFIRST HEALTH/CCN
VA1811935133Medicaid
VA266951OtherANTHEM HEALTHKEEPERS
VA44190OtherSH CARENET
VA540885859OtherCOMPMANAGEMENT
VA30442OtherOPTIMA HEALTH
VA3491676OtherAETNA HMO
VA901486OtherUNITED HEALTHCARE
VA2138306OtherUNITED HEALTHCARE MAMSI
VA267010OtherANTHEM WEST END OPERATORY
VA540885859OtherCIGNA
VA226434OtherSOUTHERN HEALTH
VA540885859OtherC&O EMPLOYEES HEALTHCARE
VAP00047046OtherRAILROAD MEDICARE
VA2138306OtherUNITED HEALTHCARE MAMSI
VA540885859OtherFIRST HEALTH/CCN
VA1811935133Medicaid