Organization Active NPI

John G. Ridgway, D.O. P. C.

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1194909994
Registry record updated Mar 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN G. RIDGWAY, D.O. P. C.
Practice address
2451 S Ave a
Suite 5
Yuma, AZ 85364-7133
Phone
(928) 726-9765
Fax
(928) 726-9763
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2008

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

Authorized official

Name
Mr. John Gregory Ridgway, D.O.
Title
President
Phone
(928) 726-9765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2451 S Ave a
Suite 5
Yuma, AZ 85364-7133

Mailing address

2451 S Ave a
Suite 5
Yuma, AZ 85364-7133
Phone (928) 726-9765

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206144000000",
    "number": "1194909994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 S AVE A",
            "address_2": "SUITE 5",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647133",
            "telephone_number": "928-726-9765",
            "fax_number": "928-726-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S AVE A",
            "address_2": "SUITE 5",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647133",
            "telephone_number": "928-726-9765",
            "fax_number": "928-726-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G. RIDGWAY, D.O. P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-03-22",
        "status": "A",
        "authorized_official_last_name": "RIDGWAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-726-9765",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2008; 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.