MICHAEL JOE RIDLEY (NPI# 1023124161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023124161 |
| Entity Type | Individual |
| Full Name | MICHAEL JOE RIDLEY |
| Credential | PA |
| Practice Address |
306 Highway 641 N Camden TN 38320-3012 |
| Mailing Address |
Po Box 25 Huntingdon TN 38344-0025 |
| Practice Telephone | 7315841523 |
| Practice Fax Number | 7319860011 |
| Mailing Telephone | 7319862213 |
| Mailing Fax Number | 7319860011 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1373 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAL LICENSE NUMBER | PA1373 | 01 |
| TN | 3380640 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902997869 | Michael Lynn Ridley | Social Worker | Eugene Towbin Health Care, 2200 Fort Roots Drive, North Little Rock, AR 72114 | 2006-09-27 |
| 1730710195 | Michael Jon Ridley II | Counselor | 24275 Jefferson Ave, Murrieta, CA 92562-7285 | 2020-02-03 |
| Street Address |
306 HIGHWAY 641 N |
| City | CAMDEN |
| State | TN |
| Zip Code | 38320-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376188045 | Mckenzie Medical Center, PC | Family Medicine | 306 Highway 641 N, Camden, TN 38320-3012 | 2019-11-16 |
| 1730597592 | Thomas Hooper | Physician Assistant | 306 Highway 641 N, Camden, TN 38320-3012 | 2014-07-24 |
| 1467742908 | Susan Elizabeth Yeomans | Nurse Practitioner | 306 Highway 641 N, Camden, TN 38320-3012 | 2011-04-18 |
| 1508182726 | Kristin Russell Davis | Nurse Practitioner | 306 Highway 641 N, Camden, TN 38320-3012 | 2010-04-13 |
| 1649593112 | Karen Lynn Frederick | Nurse Practitioner | 306 Highway 641 N, Camden, TN 38320-3012 | 2010-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
| 1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
| 1790077139 | Ccc Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320 | 2011-05-04 |
| Find all providers in zip 38320 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245634989 | Rebecca Ann Kenderes | Physician Assistant | 5 Masonic Avenue, Camden, NY 13316 | 2014-10-09 |
| 1033402599 | Colonial Family Practice, LLC | Physician Assistant | 1124 Little St, Camden, SC 29020-3613 | 2011-05-17 |
| 1073580452 | Jessica C Bethell Barsocchi | Physician Assistant | 3 Cooper Plz Rm 311, Camden, NJ 08103 | 2006-03-03 |
| 1699382440 | David Allen Davidson | Physician Assistant | 353 Cash Rd Sw, Camden, AR 71701-3704 | 2020-09-25 |
| 1346876331 | Amelia Anna Porretta | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-03-21 |
| 1285260828 | Paola Genevieve Suriel | Physician Assistant | 3 Cooper Plz Rm 215, Camden, NJ 08103-1438 | 2020-03-16 |
| 1417583253 | Alyssa Palio | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-03-12 |
| 1003442831 | Patrick Keenan | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-03-12 |
| 1457991903 | Idan Waksman | Physician Assistant | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-01-13 |
| 1366917338 | Kayla L Mercado | Physician Assistant | 3 Cooper Plz Rm 408, Camden, NJ 08103 | 2018-10-05 |
| Find all providers in CAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.