GORDON ALEXANDER RIDGEWAY MD
NPI 1114663994
Student in an Organized Health Care Education/Training Program in Wynnewood, PA
About Gordon Alexander Ridgeway Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GORDON ALEXANDER RIDGEWAY MD (NPI 1114663994) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gordon Alexander Ridgeway Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
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 Gordon Ridgeway's NPI number?
The NPI number for Gordon Ridgeway is 1114663994. It was assigned to this individual provider in the NPPES registry on May 5, 2022.
Where is Gordon Ridgeway located?
Gordon Ridgeway practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (484) 476-2000.
What is Gordon Ridgeway's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Gordon Ridgeway enrolled in Medicare?
Yes. Gordon Ridgeway is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gordon Ridgeway was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gordon Alexander Ridgeway, MD · NPI 1114663994
Student in an Organized Health Care Education/Training Program provider in Wynnewood, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 5, 2022.
## Identity
- **NPI:** 1114663994 (Entity type: Individual)
- **Enumerated:** May 5, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E LANCASTER AVE, Wynnewood, PA 19096-3450
- **Phone:** (484) 476-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114663994) · Data from the CMS NPPES public registry.