Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack E Ricketts, MDOBGYN

Individual provider Obstetrics & Gynecology Physician · NPI 1922184258

Dr. Jack E Ricketts, MDOBGYN is an Obstetrics/Gynecology in Pensacola, Florida. Graduated from Saint Louis University School of Medicine in 1981, 45 years ago. Accepts Medicare assignment. Licensed in Florida and Missouri.

Years since qualifying
45
Trained at
Saint Louis University School of Medicine
Licensed in
FL, MO
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

8333 N Davis Hwy Fl 7
Pensacola, FL 32514-6050
Phone: (850) 494-4600
Fax: (850) 969-2037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME119487 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence R5C65 (MO)

Record details

NPI number1922184258
Entity typeIndividual (Type 1)
GenderMale
Credentials MDOBGYN
Sole proprietorNo
NPI enumeratedOctober 30, 2006
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address8333 N Davis Hwy Fl 7, Pensacola, FL 32514-6050

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pensacola