Jennifer M Ridge MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35060180R Issued in OH

Legal business name

JENNIFER M RIDGE MD INC

Practice address

210 N Breiel Blvd
Middletown, OH 45042-3808

Phone

(513) 424-7231

Fax

(513) 424-1770

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer M Ridge, MDNPI 1932192515

Title

Ceo

Phone

(513) 424-7231

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer M Ridge, M.D.

  • Dermatology Physician
  • Middletown, OH
  • NPI 1932192515

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Pierson, PA-C

  • Physician Assistant
  • Middletown, OH
  • NPI 1972001428
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447307194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423808",
            "fax_number": "513-424-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423808",
            "telephone_number": "513-424-7231",
            "fax_number": "513-424-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M RIDGE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-424-7231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35060180R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0996294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farhad Jamshidi, DDS
• Laura Mischelle Janko, PHARMD, RPH
• Nura Jarman
• Morgen Jasper, PHARMD
• Paul Russell Jennewine, MD
• Kenneth Kecheng Jiang, M.D.
• John Stephen Silvani
• Benjamin Patrick Johnson, DDS
• Carrie E Johnson, OTA/L
• Cheryl A Johnson, LISW-S

• Specialist in Middletown, OH
• Providers in Middletown, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.