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GARY R RIDGE D.P.M. NPI 1144267089


NPI Information

NPI: 1144267089
Provider Name: GARY R RIDGE, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Address:
157 N 400 W
OREM, UT
ZIP 84057
Phone: (801) 226-2421
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Gary R Ridge, D.P.M. is a foot surgery podiatrist in Orem, UT. Gary R Ridge, D.P.M. NPI is 1144267089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

157 N 400 W
OREM, UT
ZIP 84057-909
Phone: (801) 226-2421
Fax: (801) 226-3869

The enumeration date for this NPI number is 5/31/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery1034600501UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
119925OTHERUTAHDESERET MUTUAL
2107006243102OTHERUTAHSELECT HEALTH
3T77938MEDICARE UPINUTAH
4E0110MEDICAIDUTAH
50761150001OTHERUTAHCIGNA MEDICARE
62365OTHERUTAHPUBLIC EMPLOYEES HEALTH
7270510OTHERUTAHALTIUS HEALTH PLANS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.