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RIDGE ROAD MEDICAL CENTER PA
NPI 1366488512
Family Medicine in Rockwall, TX

Active since June 22, 2006
2306 RIDGE RD, ROCKWALL, TX 75087(972) 771-8316(972) 722-9214 Get Directions Write a Review

NPPES record last updated: March 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ridge Road Medical Center Pa NPPES

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

RIDGE ROAD MEDICAL CENTER PA (NPI 1366488512) is a healthcare organization registered as a family medicine in Rockwall, Texas and active in the NPI registry since June 2006. The organization lists Carl K Mckenney, President, as its authorized official.

NPPES Registry Identity

NPI1366488512
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIDGE ROAD MEDICAL CENTER PA
Location Address2306 RIDGE RDRockwall, TX 75087-5140
Mailing Address2306 Ridge RdRockwall, TX 75087-5140 · (972) 771-8316 · Fax (972) 722-9214
Phone(972) 771-8316
Fax(972) 722-9214
Organization SubpartNo
Authorized OfficialCarl K MckenneyPresident · (972) 771-8316
Enumeration DateJune 22, 2006
Last NPPES UpdateMarch 26, 2010
✔ NPI 1366488512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
2306 RIDGE RD, Rockwall, TX 75087
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Other Identifiers 3

Medicare PIN00U64ETX
Medicaid091844302TX
Medicaid091844301TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. CARL K MCKENNEY DO
Family Medicine
2306 RIDGE RD
ROCKWALL, TX 75087
Rockwall County (972) 771-8316
MICHELE SUTER
Nurse Practitioner (Family)
2306 RIDGE RD
ROCKWALL, TX 75087
Rockwall County (972) 771-8316
MRS. MISTY GAYLENE HORNSBY-ODOM FNP
Nurse Practitioner
2306 RIDGE RD
ROCKWALL, TX 75087
Rockwall County (972) 771-8316

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 Ridge Road Medical Center PA's NPI number?

The NPI number for Ridge Road Medical Center PA is 1366488512. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Ridge Road Medical Center PA located?

Ridge Road Medical Center PA is located at 2306 Ridge Rd, Rockwall, TX 75087. The listed phone number is (972) 771-8316.

What is Ridge Road Medical Center PA'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 Ridge Road Medical Center PA was last updated on March 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.