Gary R Ridge in Orem - Foot Surgery

Gary R Ridge - NPI 1144267089

Gary R Ridge is a Foot Surgery in Orem, Utah. Gary R Ridge practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Gary R Ridge is 1144267089. The last update date is 2007-07-08.

Gary R Ridge's current location address is 157 N 400 W, Orem, Utah. You can contact this provider via phone number 8012262421 and fax number 8012263869. The mailing address for Gary R Ridge is 157 N 400 W, Orem, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary R Ridge
Address 157 N 400 W, Orem, Utah
Phone Number 8012262421
Fax Number 8012263869
Sole Proprietor X
Credentials D.P.M.

NPI Number Detail

NPI Number 1144267089
Provider Enumeration Date 2006-05-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 157 N 400 W
City Orem
State Utah (UT)
Post Code 840571909
Phone Number 8012262421
Fax Number 8012263869

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 1034600501
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
270510 UT ALTIUS HEALTH PLANS
19925 UT DESERET MUTUAL
2365 UT PUBLIC EMPLOYEES HEALTH
761150001 UT CIGNA MEDICARE
107006243102 UT SELECT HEALTH
E0110 UT --

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FAQs about Gary R Ridge

What is the Gary R Ridge's unique identification number?

The Gary R Ridge has been assigned the NPI (National Provider Identifier) Number 1144267089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Gary R Ridge is geographically located?

The Gary R Ridge is physically situated at the following location: 157 N 400 W, Orem, UT, 840571909.

What is the Gary R Ridge's specialty and taxonomy code?

The Gary R Ridge's specialty is Foot Surgery, and the corresponding taxonomy code is 213Es0131X.

On what date did the Gary R Ridge receive the assignment of its 1144267089 from the Centers for Medicare & Medicaid Services?

The Gary R Ridge was issued its 1144267089 by the Centers for Medicare & Medicaid Services on 2006-05-31.

As of what date was the information pertaining to Gary R Ridge, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gary R Ridge, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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