Ribaut Medical Partners, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD26623 Issued in SC

Legal business name

RIBAUT MEDICAL PARTNERS, LLC

Practice address

1094 Ribaut Rd
Beaufort, SC 29902-5437

Phone

(843) 524-2001

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Samuel Clark Trask, MDNPI 1730160896

Title

General Partner

Phone

(843) 524-2001

Specialties & licenses 2

Addresses

Tax ID family

Ribaut Medical Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ribaut Medical Partners, LLC

  • Primary Care Clinic/Center
  • Beaufort, SC
  • NPI 1750800520
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16330/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Samuel Clark Trask, MD

  • Family Medicine Physician
  • Beaufort, SC
  • NPI 1730160896
  NPD Authorized official

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407375991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025437",
            "telephone_number": "843-524-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025437",
            "telephone_number": "843-524-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIBAUT MEDICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRASK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "843-524-2001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD26623",
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "SC",
            "license": "MD26623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Reyes
• Spencer Reyes, OTR/L
• Joan Reyle, MA, CACI
• Courtney Reynolds, RD
• Jessica Eppinette Rhodes, OTR/L
• Ribaut Medical Partners, LLC
• Juwan J Rice, DDS
• Dawn Richa, LCSW
• Lindsey E. Richardson, M.S., OTR/L
• Claudia Ann Rickenbaker, PTA

• Family Medicine Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.