DR. TRACIE L RYBERG (NPI# 1730131269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730131269 |
| Entity Type | Individual |
| Full Name | DR. TRACIE L RYBERG |
| Credential | D.O. |
| Practice Address |
410 Malcolm Dr Ste C Westminster MD 21157 |
| Mailing Address |
9910 Franklin Square Dr # 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4108572300 |
| Mailing Telephone | 4109335412 |
| Mailing Fax Number | 4109331390 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H0061206 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUECROSS | 50078014 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 688c Poole Rd, Westminster, MD 211576003 | 4108578202 | 4108578205 |
| Street Address |
410 MALCOLM DR STE C |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336584721 | Brandon Haugh | Family Medicine | 410 Malcolm Dr Ste C, Westminster, MD 21157 | 2013-04-30 |
| 1063779502 | Erica Lynn Gifford | Nurse Practitioner | 410 Malcolm Dr Ste C, Westminster, MD 21157-6160 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235749623 | 360 Family Clinic, Inc. | Family Medicine | 14361 Beach Blvd Ste 203, Westminster, CA 92683-8140 | 2020-07-31 |
| 1154886406 | Elite Care Medical Group, Inc | Family Medicine | 13794 Beach Blv, Suite B, Westminster, CA 92683-4036 | 2019-01-31 |
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| 1952837312 | Hung Chung, Md, Inc. | Family Medicine | 14807 Harmony Ln, Westminster, CA 92683-5852 | 2017-05-04 |
| 1881043016 | Lucas Couch | Family Medicine | 444 Wmc Dr Ste 100, Westminster, MD 21158-4337 | 2016-06-08 |
| 1972965549 | Gray K Edwards | Family Medicine | 14300 Orchard Pkwy Fl 1, Westminster, CO 80023-9206 | 2016-03-23 |
| 1124486337 | Lifebridge Community Physicians, Inc. | Family Medicine | 688 Poole Rd, Westminster, MD 21157-6166 | 2016-02-02 |
| 1285011684 | Camri J Mcginn | Family Medicine | 10081 Wadsworth Pkwy, Westminster, CO 80021-3805 | 2015-05-05 |
| 1033465802 | Christina M Zarza | Family Medicine | 8510 Bryant St Ste 210, Westminster, CO 80031-3845 | 2012-07-31 |
| 1366717084 | Joseph Nguyen Do Inc | Family Medicine | 14571 Magnolia St Ste 105, Westminster, CA 92683-5575 | 2012-03-13 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on DR. TRACIE L RYBERG.
| 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.