Emily Boye Ridgway, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

52558 Issued in MT

Practice address

1188 N 15TH Ave Ste 1
Bozeman, MT 59715

Phone

(406) 586-2620

Fax

(406) 587-2120

NPI assigned

Jan 17, 2006

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Ridgway Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Bozeman, MT
  • NPI 1093225260
  Authorized official Same address or phone

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1598745523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 N 15TH AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153290",
            "telephone_number": "406-586-2620",
            "fax_number": "406-586-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 N 15TH AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-586-2620",
            "fax_number": "406-587-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "EMILY",
        "middle_name": "BOYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "224513",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MT",
            "license": "52558",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "227587",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NH",
            "license": "15092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016268",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30208588",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Richardson
• Ryan Patrick Riddle
• Ridgeline Counseling Services, LLC
• Ridgeline Rehab PC
• Ridgway Plastic Surgery, PLLC
• Anne Elizabeth Riemer, LCPC
• Ries Counseling PLLC
• Meredith Ries, LCPC
• Sarah Riley, DPT
• Charles F Rinker, MD

• Plastic Surgery Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Plastic Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.