Individual provider Active NPI

John R Ribic, DO

  • Cardiovascular Disease Physician
  • Helena, MT
National Provider Identifier
1073513743
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OP60566232 Issued in WA
Practice address
4119 Fox Hollow Dr
Helena, MT 59602-6006
Phone
(406) 227-1155
Fax
(406) 227-1591
NPI assigned
Jul 26, 2005
Last updated
Feb 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34002534 OH
Cardiovascular Disease Physician 207RC0000X OP60566232 WA Primary

Addresses

Primary practice location

4119 Fox Hollow Dr
Helena, MT 59602-6006

Mailing address

4119 Fox Hollow Dr
Helena, MT 59602-6006
Phone (406) 227-1155

Other identifiers 2

IdentifierTypeStateIssuer
000000352642OtherOHANTHEM
0395273MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2534OHMDClinical Psychologist
414OHMDSports Physician Chiropractor
34002534OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
St Peters Hospital Past Accepting new patients
West Central Ohio Cardiology Inc Cardiovascular Disease Past Accepting new patients
Mercy Health-St Ritas Medical Center LLC Cardiovascular Disease Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1073513743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 FOX HOLLOW DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596026006",
            "telephone_number": "406-227-1155",
            "fax_number": "406-227-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 FOX HOLLOW DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596026006",
            "telephone_number": "406-227-1155",
            "fax_number": "406-227-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBIC",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34002534",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "OP60566232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000352642",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.