DR. LOUIS E RIDGWAY III (NPI# 1851367346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851367346 |
| Entity Type | Individual |
| Full Name | DR. LOUIS E RIDGWAY III |
| Credential | M.D. |
| Practice Address |
2817 Jbs Pkwy Suite A-103 Odessa TX 79762-8111 |
| Practice Telephone | 4325822277 |
| Practice Fax Number | 4323332802 |
| Mailing Telephone | 4325822277 |
| Mailing Fax Number | 4323332802 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2016-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
H4043 | TX | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
04-24081 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100160590D | 05 | |
| MO | MEDICARE RR | P00731935 | 01 |
| KS | 100169010D | 05 | |
| MO | MEDICARE RR | P00740098 | 01 |
| KS | 100160590A | 05 | |
| MO | 206852816 | 05 | |
| MO | 1851367346 | 05 |
| Street Address |
2817 JBS PKWY SUITE A-103 |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376937 | Joseph P Bruner | Obstetrics & Gynecology | 420 E 6th St Ste 202, Odessa, TX 79761-4572 | 2005-06-14 |
| 1730519331 | West Texas Maternal Fetal Medicine Center, LLC | Obstetrics & Gynecology | 810 N Dixie Blvd, Suite 109, Odessa, TX 79761-2803 | 2013-11-18 |
| 1689608101 | Byron D. Elliott | Obstetrics & Gynecology | 420 E 6th St Ste 202, Odessa, TX 79761-4572 | 2006-07-10 |
| 1083656938 | Jorge D Blanco | Obstetrics & Gynecology | 420 E 6th St Ste 202, Odessa, TX 79761-4572 | 2006-06-12 |
| 1275572679 | Nancy L Eriksen | Obstetrics & Gynecology | 420 E 6th St, Suite 202, Odessa, TX 79761-4529 | 2006-06-04 |
| 1396717211 | James E Maher IIi | Obstetrics & Gynecology | 701 W 5th St, Suite 3212, Odessa, TX 79763-4206 | 2006-02-03 |
| 1851374946 | Randall Kelly | Obstetrics & Gynecology | 701 W 5th St, Odessa, TX 79763-4206 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990261 | Melissa Ann Cassady | Obstetrics & Gynecology | 6500 N Mo Pac Expy Ste 1205, Austin, TX 78731-3282 | 2020-10-19 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1558875898 | Texas Perinatology | Obstetrics & Gynecology | 413 Jackson Hill St, Houston, TX 77007-7409 | 2017-11-23 |
| 1699227298 | Perinatology and Genetics Pllc | Obstetrics & Gynecology | 6701 Heritage Pkwy Ste 145, Rockwall, TX 75087-8724 | 2016-10-30 |
| 1437501988 | Nima Goharkhay, Pllc | Obstetrics & Gynecology | 1016 Point Isabel Ln, Friendswood, TX 77546-7896 | 2016-07-08 |
| 1578939435 | Magdalena Sanz Cortes | Obstetrics & Gynecology | 6651 Main St., Texas Childrens Hospital Pavillion for Women.mfm Divisi, Houston, TX 77030 | 2015-08-14 |
| 1417357211 | Robert Patterson | Obstetrics & Gynecology | 3205 Pickwick Ln, Rollingwood, TX 78746-5516 | 2014-08-28 |
| 1134548399 | Mary Micaela Rieger | Obstetrics & Gynecology | 1313 Red River St Ste A1, Austin, TX 78701-1907 | 2014-04-15 |
| 1922447648 | John Byrne | Obstetrics & Gynecology | 315 N San Saba Ste 930, San Antonio, TX 78207-3154 | 2013-06-15 |
| 1083969299 | Caroline Marrs | Obstetrics & Gynecology | 7777 Forest Ln Ste 565, Dallas, TX 75230 | 2012-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LOUIS E RIDGWAY III.
| 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.