Blake Randall Ridgway, CRNA - Nurse Anesthetist, Certified Registered in Durant, OK

Blake Randall Ridgway, CRNA is a Nurse Anesthetist, Certified Registered based in Durant, Oklahoma. Blake Randall Ridgway is licensed to practice in Oklahoma (license number 100088) and his current practice location is 1800 W University Blvd, Durant, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (281) 249-5954.

NPI number for Blake Randall Ridgway is 1649717091 and his current mailing address is 1903 W Evergreen St, Durant, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649717091.

Contact Information

Blake Randall Ridgway, CRNA
1800 W University Blvd,
Durant, OK 74701-3006
(281) 249-5954
Not Available



Provider's Profile

Full NameBlake Randall Ridgway
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1800 W University Blvd, Durant, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649717091
  • Provider Enumeration Date: 01/24/2017
  • Last Update Date: 01/24/2017

Medical Identifiers

Medical identifiers for Blake Randall Ridgway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649717091NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 100088 (Oklahoma)Primary
367500000XNurse Anesthetist, Certified Registered 826001 (Texas)Secondary

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. Blake Randall Ridgway 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 AddressPractice Location Address
Blake Randall Ridgway, CRNA
1903 W Evergreen St,
Durant, OK 74701-4615

Ph: (316) 644-3355
Blake Randall Ridgway, CRNA
1800 W University Blvd,
Durant, OK 74701-3006

Ph: (281) 249-5954

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Nurse Anesthetist, Certified Registered Nurses in Durant, OK

Sean Phillip Klufa,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1800 W University Blvd, Durant, OK 74701
Phone: 580-924-3080    
Grant Roesler, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Bryan Drive, Durant, OK 74702
Phone: 580-931-3312    
Mr. Robert James Austin Iii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1800 W University Blvd, Durant, OK 74701
Phone: 580-924-3080    

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