Louis E Ridgway III, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

H4043 Issued in TX

Practice address

2817 JBS Pkwy
Suite a-103
Odessa, TX 79762-8111

Phone

(432) 582-2277

Fax

(432) 333-2802

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Centerpoint Hospital Based Physicians, LLC

  • Maternal & Fetal Medicine Physician
  • Independence, MO
  • NPI 1972749638
  NPD (past)
• RMC HBP, LLC

  • Pulmonary Disease Physician
  • Kansas City, MO
  • NPI 1508855602

  Maternal & Fetal Medicine

  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1851367346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 JBS PKWY",
            "address_2": "SUITE A-103",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628111",
            "telephone_number": "432-582-2277",
            "fax_number": "432-333-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 JBS PKWY",
            "address_2": "SUITE A-103",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628111",
            "telephone_number": "432-582-2277",
            "fax_number": "432-333-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "LOUIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KS",
            "license": "04-24081",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "H4043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206852816",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851367346",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100169010D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100160590D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00740098",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00731935",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100160590A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikala Dawn Reznik, PT,DPT
• RGV Eye Center LLC
• Christopher Rhonor
• Nicole Taylor Richart, AUD
• Bobby Ray Richter, D C
• Jessica Riley-Bolden, M.A., LPC
• Joanna Lynn Riley, LOT
• Steven Clayton Riley, M.D.
• Jazleen Rios, COTA
• Manuel H. Rios, RN

• Maternal & Fetal Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Maternal & Fetal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.