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
Middlebury, CTNo coordinates on file. Search this address in Google Maps
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 |
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 |
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Mrs. Alexa Heller Kolbig
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Jill M Siladi, MSN, APRN, FNP
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Danielle Marie Varley
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