GARY R RIDGE (NPI# 1144267089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144267089 |
| Entity Type | Individual |
| Full Name | GARY R RIDGE |
| Credential | D.P.M. |
| Practice Address |
157 N 400 W Orem UT 84057-1909 |
| Practice Telephone | 8012262421 |
| Practice Fax Number | 8012263869 |
| Mailing Telephone | 8012262421 |
| Mailing Fax Number | 8012263869 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1034600501 | UT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | SELECT HEALTH | 107006243102 | 01 |
| UT | ALTIUS HEALTH PLANS | 270510 | 01 |
| UT | CIGNA MEDICARE | 0761150001 | 01 |
| UT | DESERET MUTUAL | 19925 | 01 |
| UT | E0110 | 05 | |
| UT | PUBLIC EMPLOYEES HEALTH | 2365 | 01 |
| Street Address |
157 N 400 W |
| City | OREM |
| State | UT |
| Zip Code | 84057-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508994955 | Foot & Ankle Clinics of Utah, P.C. | Podiatrist | 157 N 400 W, B7, Orem, UT 84057-1909 | 2007-02-28 |
| 1497820054 | Scott Romney Mckell | Podiatrist | 157 N 400 W, Orem, UT 84057-1909 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1053560789 | Susan Jespersen Agres | Podiatrist | 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405-6748 | 2008-09-18 |
| 1225104250 | Jack M Davis | Podiatrist | 2251 W 900 N, Farr West, UT 84404-9586 | 2006-11-28 |
| 1023013794 | William Woodrow Martin | Podiatrist | 550 E 1400 N, Ste N, Logan, UT 84341-2450 | 2005-06-17 |
| 1730697897 | Final Kick Ankle and Foot Clinic LLC | Podiatrist | 476 Williams Way Ste B, Moab, UT 84532-2186 | 2018-01-11 |
| 1821492018 | Arches Family Foot Care LLC | Podiatrist | 65 East 100 North, Gunnison, UT 84634-0702 | 2014-10-16 |
| 1881945608 | Central Utah Foot Clinic, LLC | Podiatrist | 120 N 1220 E, Ste 12, American Fork, UT 84003-2089 | 2012-09-20 |
| 1760664668 | Dr Lorell Fawson Dpm | Podiatrist | 3590 Harrison Blvd, Suite G1, Ogden, UT 84403-2060 | 2007-12-03 |
| 1013007632 | Ryan Taylor Rushton | Podiatrist | 7495 S State St, Midvale, UT 84047-2013 | 2006-10-13 |
| 1841202397 | Stanley J Phillips | Podiatrist | 9690 S 1300 E, Suite 120, Sandy, UT 84094-3721 | 2006-08-13 |
| Find all providers with the same taxonomy | ||||
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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.