Active NPI
Summer Ridenbaugh
- Student in an Organized Health Care Education/Training Program
- Newark, OH
National Provider Identifier
1437379823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2657549
- Practice address
- 142 Arthur Ave.
Newark, OH 43055 - Phone
- (740) 973-2922
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2657549 | OH | Primary |
Addresses
Primary practice location
142 Arthur Ave.
Newark, OH 43055
Mailing address
142 Arthur Ave
Newark, OH 43055-8890
Phone (740) 973-2922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2657529 | Other | OH | PROVIDER NUMBR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2657549 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437379823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 ARTHUR AVE",
"city": "NEWARK",
"state": "OH",
"postal_code": "430558890",
"telephone_number": "740-973-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 ARTHUR AVE.",
"city": "NEWARK",
"state": "OH",
"postal_code": "43055",
"telephone_number": "740-973-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDENBAUGH",
"first_name": "SUMMER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "2657549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBR",
"identifier": "2657529",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.