RIDGEWOOD EMERGENCY GROUP, LLC
NPI 1750862694
Emergency Medicine in Davenport, FL

Q: What is Ridgewood Emergency Group, LLC's NPI number?

The NPI number for Ridgewood Emergency Group, LLC is 1750862694. It was assigned to this organization in the NPPES registry on August 28, 2018.

Q: What is Ridgewood Emergency Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since August 28, 2018

40100 HIGHWAY 27, DAVENPORT, FL 33837(863) 422-4971 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2021, Aug 28, 2018 (2 updates tracked since 2018).

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About Ridgewood Emergency Group, Llc NPPES

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

RIDGEWOOD EMERGENCY GROUP, LLC (NPI 1750862694) is a healthcare organization registered as an emergency medicine in Davenport, Florida and active in the NPI registry since August 2018. The organization maintains 2 additional practice locations and lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1750862694

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameRIDGEWOOD EMERGENCY GROUP, LLC

Location Address40100 HIGHWAY 27Davenport, FL 33837-5906

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(863) 422-4971

Organization SubpartNo

Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221

Enumeration DateAugust 28, 2018

Last NPPES UpdateMarch 27, 20242 updates tracked since enumeration

NPPES CertifiedMarch 27, 2024

✔ NPI 1750862694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

40100 HIGHWAY 27, Davenport, FL 33837

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Secondary Practice Locations 2

Location 16945 Cypress Gardens BlvdWinter Haven, FL 33884-3572 · Phone (863) 422-4971 · Fax (863) 419-2264

Location 217430 Bali BlvdWinter Garden, FL 34787-9507 · Phone (863) 422-5582 · Fax (863) 422-5597

Other Identifiers 1

Medicaid101039300FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ridgewood Emergency Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 98 clinicians reassign Medicare billing to Ridgewood Emergency Group, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Emergency Medicine58

Nurse Practitioner26

Family Practice8

Internal Medicine4

Physical Medicine and Rehabilitation1

Pulmonary Disease1

Nearest to this location (20)

See all 98

John Conboy, MD

Emergency Medicine

NPI 1841268794

40100 HWY 27
Davenport, FL 33837

(863) 422-4971

✔ PECOSSame address

Mark Esham, ARNP

Nurse Practitioner

NPI 1891754545