NPIMap

Organization Active NPI

A Lynn Ridgeway MD PC

  • Specialist
  • Sheffield, AL
National Provider Identifier
1639237340
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17451 Issued in AL
Legal business name
A LYNN RIDGEWAY MD PC
Practice address
342 Cox Blvd
Sheffield, AL 35660-4020
Phone
(256) 383-4473
Fax
(256) 381-5232
NPI assigned
Dec 5, 2006
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. A Lynn Ridgeway, MD
Title
President
Phone
(256) 383-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17451 AL Primary

Addresses

Primary practice location

342 Cox Blvd
Sheffield, AL 35660-4020

Mailing address

PO Box 2587
Muscle Shoals, AL 35662-2587
Phone (256) 383-4473

Other identifiers 2

IdentifierTypeStateIssuer
000021679MedicaidAL
21679OtherALBCBS

National Provider Directory

National Provider Directory

Locations

1111 S Raleigh Ave
Ste 500
Sheffield, AL 35660
Phone (256) 314-1080

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1639237340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356622587",
            "telephone_number": "256-383-4473",
            "fax_number": "256-381-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 COX BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356604020",
            "telephone_number": "256-383-4473",
            "fax_number": "256-381-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LYNN RIDGEWAY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-383-4473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "17451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000021679",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21679",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.