NPIMap

Individual provider Active NPI

Shelli A Ridge

  • Family Medicine Physician
  • West Chester, OH
National Provider Identifier
1356629356
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34011979 Issued in OH
Practice address
8240 Beckett Park Dr Ste a
West Chester, OH 45069-9313
Phone
(513) 860-2888
Fax
(844) 269-8327
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34011979 OH Primary

Addresses

Primary practice location

8240 Beckett Park Dr Ste a
West Chester, OH 45069-9313

Mailing address

8240 Beckett Park Dr Ste a
West Chester, OH 45069-9313
Phone (513) 860-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013000352 OH Practitioner - Family Practice 1658680715 Practice locations: West Chester, OH

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

7567 Central Parke Blvd
A
Mason, OH 45040-6852

8240 Beckett Park Dr
Suite a
West Chester, OH 45069-9313
Phone (513) 860-2888

Hospital & facility affiliations

  • Quality Life Services, LLC Home health agency, Fairfield, OH, CCN 369023
  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34011979OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medicine LLC Family Medicine CurrentSince Mar 31, 2022 Accepting new patients
Citran Xray LLC Past Accepting new patients

Locations

8240 Beckett Park Dr
Ste A
West Chester, OH 45069
Phone (513) 252-6087

Interoperability endpoints

  • Direct secure messaging: shelli.ridge.1@12864.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1356629356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 BECKETT PARK DR STE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450699313",
            "telephone_number": "513-860-2888",
            "fax_number": "844-269-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 BECKETT PARK DR STE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450699313",
            "telephone_number": "513-860-2888",
            "fax_number": "844-269-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGE",
        "first_name": "SHELLI",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34011979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.