Shane Thomas Ridge D.O.

  • NPI 1780884569
According to our database, the NPI number for Shane Thomas Ridge D.O. is 1780884569 and activated since 16 years ago. Shane Thomas Ridge D.O. is an individual provider who specializes in Family Medicine, and the primary practice location is 250 Flat Rock Pl, Westbrook, CT 06498. You can also contact Shane Thomas Ridge D.O. via telephone number is (860) 358-3640. Provider NPI information was last updated on 04/11/2017.

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Overview of Shane Thomas Ridge D.O.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/20/2007
  • Last updated: 04/11/2017

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 045427
  • License State: CT

Provider Mailing Address

  • Address: 28 Crescent St
    Middletown, CT 06457
  • Phone: 860-358-4820
  • Fax: 860-358-8661

Provider Practice Location

  • Address: 250 Flat Rock Pl
    2nd Fl
    Westbrook, CT 06498
  • Phone: 860-358-3640
  • Fax: 860-358-8656

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 045427
  • License State: CT
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 008024237
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CT
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shane Thomas Ridge D.O.?
  • A: The npi number for Shane Thomas Ridge D.O. is 1780884569.
  • Q: What are Shane Thomas Ridge D.O.'s specialties?
  • A: Shane Thomas Ridge D.O.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Shane Thomas Ridge D.O.?
  • A: The medical license number for Shane Thomas Ridge D.O. is 045427 and issued in CT in USA.
  • Q: Where is Shane Thomas Ridge D.O. practice location?
  • A: Shane Thomas Ridge D.O. is practicing at 250 Flat Rock Pl, Westbrook, CT 06498.
  • Q: How to contact Shane Thomas Ridge D.O.?
  • A: You can contact Shane Thomas Ridge D.O. via 860-358-3640.