KEN O RIDGEWAY DO
NPI 1013998723
Family Medicine in Greentown, IN

Active since November 09, 2005
712 W MAIN ST, GREENTOWN, IN 46936(765) 628-3319(765) 628-5979 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ken O Ridgeway Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEN O RIDGEWAY DO (NPI 1013998723) is an individual family medicine provider in Greentown, Indiana, licensed in Indiana (2000340) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1013998723
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEN O RIDGEWAYCredential: DO
Location Address712 W MAIN STGreentown, IN 46936-1045
Mailing Address712 W Main StGreentown, IN 46936-1045 · (765) 628-3319 · Fax (765) 628-5979
Fax(765) 628-5979
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateOctober 24, 2007
NPI 1013998723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 2000340
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

712 W MAIN ST, Greentown, IN 46936

Other Identifiers 4

Medicare UPINB29214
Other000000183513Anthem
Other10825830Caqh
Medicare PIN170710DIN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
712 W MAIN ST
GREENTOWN, IN 46936
Legal Medicine
712 W MAIN ST
GREENTOWN, IN 46936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Ridgeway's NPI number?

The NPI number for Ken Ridgeway is 1013998723. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Ken Ridgeway located?

Ken Ridgeway practices at 712 W Main St, Greentown, IN 46936. The listed phone number is (765) 628-3319.

What is Ken Ridgeway's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ken Ridgeway was last updated on October 24, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.