Stephen Ralph Ribaudo PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

01034333 Issued in IN

Legal business name

STEPHEN RALPH RIBAUDO PC

Practice address

229 Red Coach Dr
Suite 102
Mishawaka, IN 46545-3195

Phone

(574) 525-5852

Fax

(574) 252-5862

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Ralph Ribaudo, M.D.NPI 1730281841

Title

President

Phone

(574) 252-5852

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: stephenribaudo@143392.advancedmd-direct.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Ralph Ribaudo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Mishawaka, IN
  • NPI 1730281841
  NPD Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1346443520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 RED COACH DR",
            "address_2": "SUITE 102",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453195",
            "telephone_number": "574-525-5852",
            "fax_number": "574-252-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 RED COACH DR",
            "address_2": "SUITE 102",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453195",
            "telephone_number": "574-525-5852",
            "fax_number": "574-252-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN RALPH RIBAUDO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "RIBAUDO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-252-5852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01034333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG1929",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200886440A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephenribaudo@143392.advancedmd-direct.com",
            "affiliation": "N",
            "address_1": "229 Red Coach Dr",
            "address_2": "Suite 102",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465453195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel S Stanton
• Morgan Steely, DDS
• Kelli Steinbuck, BCBA
• Colin Steiner
• Julia Marie Suzette Stelter, DO
• Bianca Stevens, RBT
• Kelly Stevens
• Lesly Stewart, PMHNP-BC
• Joseph Alan Stoldt, PHARMD
• Jessica Stone

• Physical Medicine & Rehabilitation Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.