Ridgewood Associates in Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RIDGEWOOD ASSOCIATES IN INTERNAL MEDICINE

Practice address

368 River St
Springfield, VT 05156-2242

Phone

(802) 886-2526

Fax

(802) 886-2225

NPI assigned

Jun 9, 2006

Last updated

Nov 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony P. Petrillo, PA-CNPI 1306872312

Title

Business Manager

Phone

(802) 886-2526

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Pasquale Petrillo, PA-C

  • Physician Assistant
  • Springfield, VT
  • NPI 1306872312
  Authorized official Same address or phone

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1295776185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562242",
            "telephone_number": "802-886-2526",
            "fax_number": "802-886-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562242",
            "telephone_number": "802-886-2526",
            "fax_number": "802-886-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD ASSOCIATES IN INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "PETRILLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-886-2526",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99006033",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006033",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine R. Reid, MSW
• Eric Resseguie Jr., MS
• Diane L. Reynolds, MA, LADC
• Richard a. Lane MD PC (LAne Eye Associates)
• Richard a. Lane MD PC (Northern Eyewear)
• River Street Pharmacy Inc
• James Rizzo, DC
• Tammy Robbins
• Theodore Bennett Robbins, MD
• Robert Johns, MD

• Internal Medicine Physician in Springfield, VT
• Providers in Springfield, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.