Justin Sean Ribault, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

62824-20 Issued in WI

Practice address

3995 Boulevard Dr
Pittsburgh, PA 15217-2619

Phone

(973) 738-9286

NPI assigned

May 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1306070966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 BOULEVARD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172619",
            "telephone_number": "973-738-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 BOULEVARD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172619",
            "telephone_number": "973-738-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBAULT",
        "first_name": "JUSTIN",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "62824-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Rhodes, PA-C
• Rhythm Watch, LLC
• Khadeeja Riaz, M.D
• Tamara Ribar
• Thomas B Ribar
• Bonnie Ricard
• Aaliyah Riccardi
• Thomas Henry Riccardi, DMD
• Amanda Marie Riccardino, PHARMD
• Antonio Mariso Riccelli, MD

• Internal Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.