Shane Thomas Ridge in Middletown - Family Medicine
Shane Thomas Ridge - NPI 1780884569
Shane Thomas Ridge is a Family Medicine in Middletown, Connecticut. Shane Thomas Ridge practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shane Thomas Ridge is 1780884569. The last update date is 2017-04-11.
Shane Thomas Ridge's current location address is 28 Crescent St, Middletown, Connecticut. You can contact this provider via phone number 8603584820 and fax number 8603588661. The mailing address for Shane Thomas Ridge is 28 Crescent St, Middletown, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Thomas Ridge |
|---|---|
| Address | 28 Crescent St, Middletown, Connecticut |
| Phone Number | 8603584820 |
| Fax Number | 8603588661 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1780884569 |
|---|---|
| Provider Enumeration Date | 2007-07-20 |
| Last Updated Date | 2017-04-11 |
Provider Mailing Address Detail
| Address | 28 Crescent St |
|---|---|
| City | Middletown |
| State | Connecticut (CT) |
| Post Code | 64573654 |
| Phone Number | 8603584820 |
| Fax Number | 8603588661 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 45427 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8024237 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shane Thomas Ridge by the Centers for Medicare & Medicaid Services?
The Shane Thomas Ridge has been assigned the NPI (National Provider Identifier) 1780884569 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Shane Thomas Ridge is geographically located?
The Shane Thomas Ridge is physically situated at the following location: 28 Crescent St, Middletown, CT, 64573654.
What is Shane Thomas Ridge's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shane Thomas Ridge is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780884569 to Shane Thomas Ridge?
The Centers for Medicare & Medicaid Services originally issued the 1780884569 to Shane Thomas Ridge on 2007-07-20.
As of what date was the information regarding Shane Thomas Ridge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shane Thomas Ridge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-11.
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