RICHARD R. RECKO D.P.M. PA NPI 1003097395

NPI Information

NPI: 1003097395
Provider Name: RICHARD R. RECKO D.P.M., PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1776 WELLINGTON AVE
SUITE 1
WILMINGTON, NC
ZIP 28403
Phone: (910) 762-2404
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RICHARD R. RECKO D.P.M., PA is a foot and ankle surgery podiatrist in Wilmington, NC. RICHARD R. RECKO D.P.M., PA NPI is 1003097395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1776 WELLINGTON AVE
SUITE 1
WILMINGTON, NC
ZIP 28403-075
Phone: (910) 762-2404
Fax: (910) 762-4249

The provider's authorized official is Richard R. Recko .
The authorized official title is Ceo and has the following contact phone number (910) 762-2404.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 11/15/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	213	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7908139	MEDICAID	NORTH CAROLINA
2	243120A	MEDICARE PIN	NORTH CAROLINA
3	08139	OTHER	NORTH CAROLINA	BCBS
4	2345943	MEDICARE PIN	NORTH CAROLINA
5	DD0367	OTHER	NORTH CAROLINA	RAILROAD MEDICARE
6	T64078	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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