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RIDGEWOOD MEDICAL CLINIC
NPI 1497876288
Family Medicine in Garland, TX

Active since April 02, 2007CLIA 45D1003967 · Certificate of Compliance
219 W KINGSLEY RD, SUIT 336, GARLAND, TX 75041(972) 271-5544 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ridgewood Medical Clinic NPPES

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

RIDGEWOOD MEDICAL CLINIC (NPI 1497876288) is a healthcare organization registered as a family medicine in Garland, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 12, 2026 and lists Bruce E. Wardlay, Owner, as its authorized official.

NPPES Registry Identity

NPI1497876288
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKINGSLEY MEDICAL CLINIC, P.A.
Location Address219 W KINGSLEY RD, SUIT 336Garland, TX 75041-3448
Mailing Address219 W Kingsley Rd, Suit 336Garland, TX 75041-3448 · (972) 271-5544
Phone(972) 271-5544
Organization SubpartNo
Authorized OfficialBruce E. WardlayOwner · (972) 271-5544
Enumeration DateApril 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497876288 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.

219 W KINGSLEY RD, Garland, TX 75041
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Other Names 1

Doing Business AsRidgewood Medical Clinic

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D1003967

Ridgewood Medical Clinic · Garland, TX
Active · expires Dec 12, 2026
CLIA Number45D1003967
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorBlake A. Rogers
Laboratory Phone(972) 271-5544
Laboratory LocationRidgewood Medical Clinic219 W Kingsley Rd Ste 336, Garland, TX 75041
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Kingsley Medical Clinic, P.A.'s NPI number?

The NPI number for Kingsley Medical Clinic, P.A. is 1497876288. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Ridgewood Medical Clinic.

Where is Kingsley Medical Clinic, P.A. located?

Kingsley Medical Clinic, P.A. is located at 219 W Kingsley Rd Suit 336, Garland, TX 75041. The listed phone number is (972) 271-5544.

What is Kingsley Medical Clinic, P.A.'s specialty?

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

Does Kingsley Medical Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D1003967) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kingsley Medical Clinic, P.A. accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Kingsley Medical Clinic, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kingsley Medical Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.