Individual provider Active NPI

Jeffrey Anthony Van Lier Ribbink, M.D.

  • Surgery Physician
  • Rhinelander, WI
National Provider Identifier
1508814229
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
18860 Issued in AZ
Practice address
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone
(715) 361-4700
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 18860 AZ Primary

Addresses

Primary practice location

2251 N Shore Dr
Rhinelander, WI 54501-6710

Mailing address

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051018000008 AZ Practitioner - General Surgery 4385660570 Reassigns benefits to 2 organizations
Practice locations: Scottsdale, AZ
I20190927000779 WI Practitioner - General Surgery 4385660570 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18860AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Nov 1, 2010 Accepting new patients
Valley Surgical Clinics, LTD Surgery CurrentSince Oct 1, 2016 Accepting new patients
Honorhealth Ambulatory Surgery CurrentSince Nov 1, 2010 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 18, 2019 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 18, 2019 Accepting new patients
Center for Endocrine and Pancreas Surgery PastSince Dec 15, 2016 Accepting new patients

Locations

16601 N 40th St
Ste 204
Phoenix, AZ 85032
Phone (602) 633-3721

3805 E Bell Rd
Ste 4800
Phoenix, AZ 85032
Phone (602) 633-3722

3501 N Scottsdale Rd
Ste 222
Scottsdale, AZ 85251
Phone (480) 947-3533

10290 N 92nd St
Ste 305
Scottsdale, AZ 85258
Phone (480) 941-0866

10460 N 92nd St
Ste 401
Scottsdale, AZ 85258
Phone (480) 882-7400

10210 N 92nd St
Ste 107
Scottsdale, AZ 85258
Phone (480) 264-6820

7351 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 882-7300

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

29980 Network Pl
Chicago, IL 60673

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1508814229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LIER RIBBINK",
        "first_name": "JEFFREY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "18860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.