Gregory Michael Ricketts
Gregory Michael Ricketts is a General Surgery in Middlebury, Connecticut. Qualified in 2013, 13 years ago. Practices with Prospect CT Medical Foundation Inc, a 289-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 13
- Licensed in
- CT
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1625 Straits Tpke Ste 200Middlebury, CT 06762-1836
Phone: (203) 568-2929
Fax: (203) 575-5121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 67612 (CT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1326459454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 12, 2014 |
| Last updated in NPPES | August 9, 2021 |
| Certification date | August 9, 2021 |
| Mailing address | 64 Robbins St, Waterbury, CT 06708-2613 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Prospect Ct Medical Foundation Inc — 289 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Middlebury
-
Mrs. Alexa Heller Kolbig
819 Straits Tpke, Middlebury, CT 06762-2847 · (203) 598-7920
-
Jill M Siladi, MSN, APRN, FNP
1579 Straits Tpke Ste 1E, Middlebury, CT 06762-1835 · (203) 490-1000
-
Danielle Marie Varley
1579 Straits Tpke Ste 1F, Middlebury, CT 06762-1835 · (203) 598-0700