RIDGELINE PHYSICIAN SERVICES PLC NPI 1952627119

NPI Information

NPI: 1952627119
Provider Name: RIDGELINE PHYSICIAN SERVICES, PLC

Doing Business As: WELLSPRING SPECIALTY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D2119536

Address:
15237 CREATIVITY DR
CULPEPER, VA
ZIP 22701
Phone: (540) 321-4281
Get Directions

RIDGELINE PHYSICIAN SERVICES, PLC is a family medicine in Culpeper, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RIDGELINE PHYSICIAN SERVICES, PLC NPI is 1952627119. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspring Specialty Clinic.

The provider's business location address is:

15237 CREATIVITY DR
CULPEPER, VA
ZIP 22701-504
Phone: (540) 321-4281

The provider's authorized official is Khalid Athar .
The authorized official title is Sole Owner and has the following contact phone number (540) 321-4281.

The CLIA number assigned to this NPI record is 49D2119536 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207L00000X	Anesthesiology		No
2	207LP2900X	Anesthesiology	Pain Medicine	No
3	207QA0000X	Family Medicine	Adolescent Medicine	No
4	207QG0300X	Family Medicine	Geriatric Medicine	No
5	207V00000X	Obstetrics & Gynecology		No
6	207Y00000X	Otolaryngology		No
7	207YX0007X	Otolaryngology	Plastic Surgery within the Head & Neck	No
8	207YX0602X	Otolaryngology	Otolaryngic Allergy	No
9	208000000X	Pediatrics		No
10	2084N0400X	Psychiatry & Neurology	Neurology	No
11	208VP0000X	Pain Medicine	Pain Medicine	No
12	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
13	207Q00000X	Family Medicine		Yes
14	261QP1100X	Clinic/Center	Podiatric	No
15	261QM1300X	Clinic/Center	Multi-Specialty	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1952627119	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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