Derrick E Ridley is a Specialist in Hampton, Virginia. Derrick E Ridley practices all healthcare services and medical treatments related to Specialist. The NPI Number for Derrick E Ridley is 1679530703. The last update date is 2011-02-24.
Derrick E Ridley's current location address is 4000 Coliseum Dr, Hampton, Virginia. You can contact this provider via phone number 7578272200 and fax number 7578272266. The mailing address for Derrick E Ridley is 4000 Coliseum Dr, Hampton, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick E Ridley |
|---|---|
| Address | 4000 Coliseum Dr, Hampton, Virginia |
| Phone Number | 7578272200 |
| Fax Number | 7578272266 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679530703 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2011-02-24 |
Provider Mailing Address Detail
| Address | 4000 Coliseum Dr |
|---|---|
| City | Hampton |
| State | Virginia (VA) |
| Post Code | 236665906 |
| Phone Number | 7578272200 |
| Fax Number | 7578272266 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101033473 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6071147 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Derrick E Ridley by the Centers for Medicare & Medicaid Services (CMS)?
The Derrick E Ridley has been assigned the NPI (National Provider Identifier) 1679530703. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Derrick E Ridley's physical address?
The Derrick E Ridley is physically located at 4000 Coliseum Dr, in the city of Hampton, VA, with the postal code 236665906.
What is the Derrick E Ridley's specialty and taxonomy code?
The Derrick E Ridley's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679530703 to Derrick E Ridley?
The Derrick E Ridley received its 1679530703 assignment from the Centers for Medicare & Medicaid Services on 2006-05-01.
As of what date was the information regarding Derrick E Ridley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Derrick E Ridley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-02-24.