Nathanael W Ridge, PA, PHD in Murray, UT - Physician Assistant

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.

Contact Information

	Nathanael W Ridge, PA, PHD
	5770 S 250 E, #290, Murray, UT 84107-8100
	(801) 747-8700
	(801) 747-8701

Healthcare Provider's Profile

Full Name	Nathanael W Ridge
Gender	Male
Speciality	Physician Assistant - Medical
Location	5770 S 250 E, Murray, Utah
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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Nathanael W Ridge, PA, PHD - in Murray, UT