Organization
RIDGELINE PHYSICIAN SERVICES, LLC
Active
Organization
RIDGELINE PHYSICIAN SERVICES, LLC
Active
Other names
Wellspring Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J DIXON (CREDENTIALING)
(540) 321-4281
Entity
Organization
Contact information
Practice address
15237 CREATIVITY DR, CULPEPER, VA 22701-2504
(540) 321-4281
(540) 321-4282
Mailing address
302 E DAVIS ST STE 201, CULPEPER, VA 22701-2808
(543) 321-4281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207VG0400X
Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952627119
—
VA
Enumeration date
04/07/2017
Last updated
01/30/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up