Angelique Luzon Ridore, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD445654 Issued in PA

Practice address

12 St Paul Dr
Chambersburg, PA 17201-1035

Phone

(717) 217-6882

Fax

(717) 217-6883

NPI assigned

Jul 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Obstetrics/Gynecology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
• Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
• Wellspan York Hospital Hospital, York, PA, CCN 390046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aridore133379@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  • Family Medicine Physician
  • Waynesboro, PA
  • NPI 1972215762
  NPD
• The Chambersburg Hospital

  • General Acute Care Hospital
  • Chambersburg, PA
  • NPI 1902804552
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1215060157

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1669523320

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  • General Acute Care Hospital
  • Chambersburg, PA
  • NPI 1902804552
  Care Compare affiliation
• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1952452617

  Hospital

  Care Compare affiliation
• The Gettysburg Hospital

  • Ambulatory Surgical Clinic/Center
  • Gettysburg, PA
  • NPI 1184882011

  Hospital

  Care Compare affiliation
• The Gettysburg Hospital

  • General Acute Care Hospital
  • Gettysburg, PA
  • NPI 1265466957
  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1497814040

  Hospital

  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1609112036

  Hospital

  Care Compare affiliation
• York Hospital

  • Family Medicine Physician
  • York, PA
  • NPI 1881617132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1689838096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ST PAUL DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011035",
            "telephone_number": "717-217-6882",
            "fax_number": "717-217-6883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-217-6883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-597-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Connellsburg",
            "state": "PA",
            "postal_code": "172338559",
            "country_code": "US",
            "telephone_number": "717-485-6125",
            "fax_number": "717-485-6106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011795",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-217-6883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-762-4551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Washington St Ste B",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252500",
            "country_code": "US",
            "telephone_number": "717-337-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDORE",
        "first_name": "ANGELIQUE",
        "middle_name": "LUZON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD445654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102722830",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard S Richards II, MD
• Robert N Richards Jr., M.D.
• Paige Madison Richardson
• Jacqueline Ricker, PTA
• Sherry P. Rickman, DPT
• Lara L Rife, PA-C
• John Howard Rinehart, P.T.
• John G Rippy, D.D.S.
• Devin Julia Riss
• Ashley Pauline Ritchey, CRNP

• Obstetrics & Gynecology Physician in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.