RIDGELINE PHYSICIAN SERVICES, LLC (NPI# 1356874275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356874275 |
| Entity Type | Organization |
| Organization Name | RIDGELINE PHYSICIAN SERVICES, LLC |
| Other Organization Name | WELLSPRING HEALTH SERVICES |
| Practice Address |
15237 Creativity Dr Culpeper VA 22701-2504 |
| Mailing Address |
302 E Davis St Ste 201 Culpeper VA 22701-2808 |
| Practice Telephone | 5403214281 |
| Practice Fax Number | 5403214282 |
| Mailing Telephone | 5433214281 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | BARBARA J DIXON (CREDENTIALING) |
| Authorized Official Telephone | 5403214281 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1952627119 | 05 |
| Other Name | Type Code |
|---|---|
| Wellspring Health Services | Doing Business As Name - Organization |
| Street Address |
15237 CREATIVITY DR |
| City | CULPEPER |
| State | VA |
| Zip Code | 22701-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599464 | Stacey L Ratigan | Legal Medicine | 15237 Creativity Dr, Culpeper, VA 22701 | 2005-06-28 |
| 1477179257 | Carmella Walling | Nurse Practitioner | 15237 Creativity Dr, Culpeper, VA 22701-2504 | 2020-06-17 |
| 1124678479 | Abigail Rennie Carruthers | Physician Assistant | 15237 Creativity Dr, Culpeper, VA 22701-2504 | 2019-09-18 |
| 1518440825 | Heather Lynn Cannova | Nurse Practitioner | 15237 Creativity Dr, Culpeper, VA 22701-2504 | 2018-09-12 |
| 1396224218 | Amber D. Mullins | Nurse Practitioner | 15237 Creativity Dr, Culpeper, VA 22701-2504 | 2018-08-10 |
| 1053897967 | Erin Nicole Jones | Physician Assistant | 15237 Creativity Dr, Culpeper, VA 22701-2504 | 2018-07-13 |
| 1073966156 | Shenandoah Family Urgent Care, LLC | Clinic/Center | 15237 Creativity Dr, Suite 103, Culpeper, VA 22701-2504 | 2016-07-13 |
| 1295188373 | Shenandoah Family Practice, LLC | Clinic/Center | 15237 Creativity Dr, Suite 101, Culpeper, VA 22701-2504 | 2016-07-13 |
| 1578873394 | Thomas E Achter Jr. | Nurse Practitioner | 15237 Creativity Dr, Culpeper, VA 22701-2504 | 2010-10-14 |
| 1619286424 | Amy Wyatt Rosenblum | Dietitian, Registered | 15237 Creativity Dr, Culpeper, VA 22701 | 2010-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621907 | Warzetta Delphina Carter | Technician | 1415 Orange Rd., Culpeper, VA 22701 | 2019-10-21 |
| 1043747983 | Jeremy L. Mccullough | Physical Therapist | 15331 Creativity Dr # 960, Culpeper, VA 22701 | 2017-05-22 |
| 1013366921 | Angel Wings Family Services LLC. | Home Health | 133 East Davis Street Suite 330, Culpeper, VA 22701 | 2016-06-10 |
| 1598114654 | Aa Lightfoot Transportation | Non-emergency Medical Transport (VAN) | 13908 Eggbornsville Rd, Culpeper, VA 22701 | 2016-06-09 |
| 1780087437 | Healing Hands Therapeutic Massage, LLC. | Massage Therapist | 530 Sunset Lane, Culpeper, VA 22701 | 2014-10-08 |
| 1053694893 | Sharon Darling | Pharmacist | 309 Southgate Sc, Culpeper, VA 22701 | 2011-09-27 |
| 1821371196 | Cathy Annette Crain | Pharmacist | 309 Southgate, Safeway Pharmacy, Culpeper, VA 22701 | 2011-09-23 |
| 1447572698 | Jordan Lee Nougaret | Specialist/Technologist | 132 Standpipe Road, Culpeper, VA 22701 | 2010-02-15 |
| 1194957324 | Giant Food Stores, LLC | Pharmacy | 15371 Montanus Drive, Culpeper, VA 22701 | 2009-08-21 |
| 1093959611 | Samantha Jane Reynolds | Physician Assistant | 1100 Sunset Lane 1211-a, Culpeper, VA 22701 | 2009-04-27 |
| Find all providers in zip 22701 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003853920 | Culpeper Medical Associates, LLC | Clinic/Center | 14115 Lovers Ln, Suite 100, Culpeper, VA 22701-4157 | 2006-05-31 |
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| 1073143228 | Brain and Body Regenerative Medicine | Clinic/Center | 3051 Valley Ave Ste 108, Winchester, VA 22601-2658 | 2020-01-16 |
| 1841754272 | Essential Piece Life Enrichment Services | Clinic/Center | 12 Salters Creek Rd Ste 200, Hampton, VA 23661-2453 | 2019-01-30 |
| 1588130744 | Insight Recovery Centers | Clinic/Center | 44340 Premier Plz Ste 230, Ashburn, VA 20147-5074 | 2018-10-15 |
| 1306320130 | Quickcare Health Inc | Clinic/Center | 1013 University Blvd Ste 270-280, Suffolk, VA 23435-0048 | 2018-09-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.