Nathanael W Ridge, PA, PHD is a
Physician Assistant - Medical based in Murray, Utah. Nathanael W Ridge is licensed to practice in Utah (license number 6833666-1206) and his current practice location is
5770 S 250 E, #290, Murray, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 747-8700.
NPI number for Nathanael W Ridge is 1134424641 and his current mailing address is 5770 S 250 E, #290, Murray, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134424641.
Healthcare Provider's Profile
Full Name | Nathanael W Ridge |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 5770 S 250 E, Murray, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134424641
- Provider Enumeration Date: 01/13/2011
- Last Update Date: 11/24/2023
Medical Identifiers
Medical identifiers for Nathanael W Ridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134424641 | NPI | - | NPPES |
1780459016 | Other | UT | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 68336662501 (Utah) | Secondary |
363AM0700X | Physician Assistant - Medical | 6833666-1206 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathanael W Ridge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nathanael W Ridge, PA, PHD 5770 S 250 E, #290, Murray, UT 84107-8100 Ph: (801) 747-8700 | Nathanael W Ridge, PA, PHD 5770 S 250 E, #290, Murray, UT 84107-8100 Ph: (801) 747-8700 |
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