TIM M RIDGWAY (NPI# 1295730356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295730356 |
| Entity Type | Individual |
| Full Name | TIM M RIDGWAY |
| Credential | M.D. |
| Practice Address |
1500 W 22nd St Ste 101 Sioux Falls SD 57105-1503 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053288500 |
| Practice Fax Number | 6053288501 |
| Mailing Telephone | 6053289556 |
| Mailing Fax Number | 6053289501 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
3422 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6002424 | 05 |
| Street Address |
1500 W 22ND ST STE 101 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265928907 | Ashley Nicole Moisan | Nurse Practitioner | 1500 W 22nd St, Sioux Falls, SD 57105-7702 | 2018-07-05 |
| 1871001495 | Andrea Neil Nelson | Registered Nurse | 1500 W 22nd St, Sioux Falls, SD 57105-7702 | 2018-01-17 |
| 1407309339 | Shelby Brown | Genetic Counselor, MS | 1500 W 22nd St, #401, Sioux Falls, SD 57105-7702 | 2016-07-27 |
| 1285007773 | Erin E Vande Lune | Advanced Practice Midwife | 1500 W 22nd St, Suite 301, Sioux Falls, SD 57105-7702 | 2015-11-05 |
| 1811379308 | Raeann Kragenbring | Genetic Counselor, MS | 1500 W 22nd St, Suite 401, Sioux Falls, SD 57105-7702 | 2015-06-22 |
| 1558769356 | Lindsay Dawn Horstman | Nurse Practitioner | 1500 W 22nd St, Ste 401, Sioux Falls, SD 57105-7702 | 2014-12-09 |
| 1780928366 | Lior Borovik | Genetic Counselor, MS | 1500 W 22nd St, Suite 401, Sioux Falls, SD 57105-7702 | 2012-11-20 |
| 1598010662 | Betsy Jo Rentschler | Nurse Practitioner | 1500 W 22nd St, Ste 402, Sioux Falls, SD 57105-7702 | 2012-07-16 |
| 1487923991 | Sanford Clinic | Genetic Counselor, MS | 1500 W 22nd St, Ste 401, Sioux Falls, SD 57105-7702 | 2011-12-29 |
| 1831468347 | Sanford Clinic | Obstetrics & Gynecology | 1500 W 22nd St, Ste 102, Sioux Falls, SD 57105-7702 | 2011-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386965580 | Kunut Kijsirichareanchai | Internal Medicine | 1205 S. Grange Avenue, Mb2, Suite 104, Sanford Gastroenterology Clinic, Sioux Falls, SD 57105 | 2010-06-22 |
| 1871792408 | R. D. Meyer, M.d. | Internal Medicine | 1200 S Euclid Ave Ste 210, Sioux Falls, SD 57105-0433 | 2007-07-13 |
| 1518973221 | Sanford Clinic | Internal Medicine | 1205 S Grange Ave Ste 510, Sioux Falls, SD 57105-0410 | 2006-08-01 |
| 1235183807 | Chandar Singaram | Internal Medicine | 1905 W 57th St Ste 1, Sioux Falls, SD 57108-2893 | 2006-05-19 |
| 1194799882 | Avera Mckennan | Internal Medicine | 6100 S Louise Ave Ste 3100, Sioux Falls, SD 57108-6021 | 2006-02-17 |
| 1063486975 | John D Barker Jr. | Internal Medicine | 1001 E. 21st St., Ste. 501, Sioux Falls, SD 57105 | 2006-02-15 |
| 1134191869 | Kozhikode Veetil Narayanan Menon | Internal Medicine | 1001 E 21st St, Suite 303, Sioux Falls, SD 57105-1033 | 2006-02-06 |
| 1619972783 | Christopher Michael Hurley | Internal Medicine | 1417 S Cliff Ave, Suite 300, Sioux Falls, SD 57105-1022 | 2005-06-16 |
| 1205831377 | Jorge A Gilbert | Internal Medicine | 1205 S Grange Ave Ste 104, Sioux Falls, SD 57105-0414 | 2005-06-16 |
| 1437564820 | Antonios Wehbeh | Internal Medicine | 1205 S Grange Ave Ste 510, Sioux Falls, SD 57105-0410 | 2014-06-25 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.