JENNA L W RIDLEN (NPI# 1356780647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356780647 |
| Entity Type | Individual |
| Full Name | JENNA L W RIDLEN |
| Other Name | JENNA LEE WILCOX RIDLEN |
| Credential | D.O. |
| Practice Address |
1350 Des Moines Street Suite 110 Des Moines IA 50309-5507 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5156430833 |
| Practice Fax Number | 5156430933 |
| Mailing Telephone | 5156430833 |
| Mailing Fax Number | 5156430933 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO-04667 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1350 DES MOINES STREET SUITE 110 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295281962 | Rebecca Kriha | Physician Assistant | 1350 Des Moines Street, Suite 110, Des Moines, IA 50309-5507 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851861587 | Clayton Health Systems, Inc | Family Medicine | 351 Francis Avenue, Des Moines, NM 88418 | 2018-11-26 |
| 1982043014 | Angela De Hamer | Family Medicine | 1111 6th Ave Fl 4, Des Moines, IA 50314-2610 | 2013-06-21 |
| 1174962500 | Paul Lyndon Nurmi | Family Medicine | 6601 Sw Ninth Street, Des Moines, IA 50315-6138 | 2013-06-19 |
| 1639461007 | Gwen George Luepke | Family Medicine | 2725 Merle Hay Rd, Des Moines, IA 50310-1134 | 2011-05-04 |
| 1083926414 | Steven R Morris | Family Medicine | 840 E University Avenue, Des Moines, IA 50316-2304 | 2010-07-14 |
| 1922258474 | Dennis Lee Anderson | Family Medicine | 5221 Village Run Ave, Unit 1602, Des Moines, IA 50317-4979 | 2008-09-21 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1760681597 | Jose G Aguilar | Family Medicine | 1350 Des Moines St., Ste 110, Des Moines, IA 50309-5526 | 2007-07-12 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| 1780700641 | Maria Cristina Filippone | Family Medicine | 1616 Casady Dr, Des Moines, IA 50315-1828 | 2007-03-22 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on JENNA L W RIDLEN.
| 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.