Shelli Ann Ridge (NPI# 1356629356, PAC ID# 1658680715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1356629356 |
| PAC ID by PECOS | 1658680715 |
| Professional Enrollment ID | I20151013000352 |
| Full Name | Shelli Ann Ridge |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Address |
4403 W Franklin St D Bellbrook OH 45305-2700 |
| Phone Number | 9378489010 |
| Gender | F |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2860386349 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW HOSPITAL & MEDICAL CENTER |
| 360051 | MIAMI VALLEY HOSPITAL |
| 360079 | KETTERING MEDICAL CENTER |
| 360239 | SYCAMORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4403 W Franklin St D, Bellbrook, OH 45305-2700 | 9378489010 | PROVIDENCE MEDICAL GROUP |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Kay Edwards | Nurse Practitioner | Providence Medical Group | 8701 Troy Pike, Suite 20, Huber Heights, OH 45424-1073 |
| Timothy D Webb | Family Medicine | Providence Medical Group | 4403 W Franklin St D, Bellbrook, OH 45305-2700 |
| Krista A Miller | Nurse Practitioner | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| Caitlyn Frantz | Nurse Practitioner | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Meta Lisa Howard | Nurse Practitioner | Providence Medical Group | 400 Corporate Ctr Dr, Vandalia, OH 45377-1164 |
| Kristen M Schwieterman | Nurse Practitioner | Providence Medical Group | 4353e State Route 73, Waynesville, OH 45068-8812 |
| Kevin A Carter | Family Medicine | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Shane T Sampson | Family Medicine | Providence Medical Group | 2912 Springboro W, Moraine, OH 45439-1674 |
| Mary F Sroga | Nurse Practitioner | Providence Medical Group | 1870 Dayton Germantown Pike, Germantown, OH 45327-1100 |
| James R Fisco | Family Medicine | Providence Medical Group | 70 Remick Blvd, Springboro, OH 45066-9168 |
| Street Address |
4403 W FRANKLIN ST D |
| City | BELLBROOK |
| State | OH |
| Zip | 45305-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy D Webb | Family Medicine | Providence Medical Group | 4403 W Franklin St D, Bellbrook, OH 45305-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua A Ross | Chiropractic | 4299 Sugarcreek Dr, Bellbrook, OH 45305-1330 | |
| Bruce A Brown | Chiropractic | 4299 Sugarcreek Dr, Bellbrook, OH 45305-1330 | |
| Douglas Songer | Psychiatry | Premier Health Specialists Inc | 4301 W Franklin St, Bellbrook, OH 45305-1552 |
| Donna M Maier | Clinical Psychologist | 4301 State Route 725, Suite B, Bellbrook, OH 45305-1552 | |
| Cara Marie Wampler | Optometry | Clarkson Optometry Midwest Inc | 3951 W Franklin St, Bellbrook, OH 45305-1834 |
| Kaitlyn Mcbride | Optometry | Clarkson Optometry Midwest Inc | 3951 W Franklin St, Bellbrook, OH 45305-1834 |
| Elizabeth Hardin | Optometry | Clarkson Optometry Midwest Inc | 3951 W Franklin St, Bellbrook, OH 45305-1834 |
| Tyler T Lanning | Chiropractic | 2011 S Lakeman Dr, Suite D, Bellbrook, OH 45305-2315 | |
| David S Nicholson | Obstetrics/gynecology | 4403 State Route 725, Suite A1, Bellbrook, OH 45305-2700 | |
| Keith W. Hunsaker | Diagnostic Radiology | Specialists In Medical Imaging Sc | 1205 Settlers Bay Ct, Bellbrook, OH 45305-8790 |
| Find all physicians in zip 45305 | |||
| City | BELLBROOK |
| Zip Code | 45305 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BELLBROOK + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Shelli Ann Ridge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.