Ridge Surgical Services LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

RIDGE SURGICAL SERVICES LLC

Practice address

1601 Lambrook Dr
Deland, FL 32724-7365

Phone

(386) 679-4494

NPI assigned

Feb 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael A Schwarz, PA-C

Title

Physician Assistant

Phone

(386) 679-4494

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599955200000",
    "number": "1013473115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LAMBROOK DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247365",
            "telephone_number": "386-679-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LAMBROOK DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247365",
            "telephone_number": "386-679-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "386-679-4494",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Christine Rich
• Patricia A Richeson, LCSW
• Lisa Rickman
• Karina Ann Ricko, LCSW
• Ride to Care Transit LLC
• Ridgecrest NH, LLC
• Ridgecrest Nursing and Rehab LLC
• Daniel L. Riegle, MAT ATC
• Kathrine N Rigney, FNP
• Elizabeth Rivera, MD

• All providers in Deland, FL
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.