NOEL B RIDGE (NPI# 1508937798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508937798 |
| Entity Type | Individual |
| Full Name | NOEL B RIDGE |
| Credential | P.A. |
| Practice Address |
3345 Southwestern Blvd Orchard Park NY 14127-1506 |
| Mailing Address |
425 Essjay Rd Ste 170 Williamsville NY 14221-8235 |
| Practice Telephone | 7166564806 |
| Practice Fax Number | 7162505926 |
| Mailing Telephone | 7166301219 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5768866 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02820817 | 05 | |
| NY | UNIVERA | 00027799901 | 01 |
| NY | HEALTH NOW | 000528923001 | 01 |
| NY | INDEPENDENT HEALTH | 9514042 | 01 |
| Street Address |
3345 SOUTHWESTERN BLVD |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457340689 | Jeffrey W Berndtson | Surgery | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2005-10-20 |
| 1205446432 | Nyala Ahmed | Counselor | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2020-08-03 |
| 1831725670 | Megan Rutkowski | Counselor | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2020-03-12 |
| 1134569502 | Alexandra M Cellino | Physician Assistant | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2013-07-01 |
| 1538486576 | Brian Alan Herbst | Family Medicine | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2010-04-30 |
| 1164583571 | Christine E Carron | Nurse Practitioner | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2006-12-12 |
| 1306895800 | Laura Ureta | Dermatology | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2006-05-10 |
| 1841256468 | Michael R Cellino | Internal Medicine | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821008 | Laura B Ridge | Physician Assistant | 3065 Southwestern Blvd, Ste 104, Orchard Park, NY 14127-1239 | 2005-06-16 |
| 1811482714 | Emily Kowalski | Physician Assistant | 3900 N Buffalo Road, Orchard Park, NY 14127-1842 | 2018-06-25 |
| 1457775561 | Vanessa Piazza | Physician Assistant | 3900 N Buffalo St, Orchard Park, NY 14127-1842 | 2014-02-10 |
| 1619307121 | Samantha Gomolka | Physician Assistant | 3045 Southwestern Blvd Ste 104, Orchard Park, NY 14127 | 2013-11-19 |
| 1083726251 | Lisa Domagala | Physician Assistant | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2006-08-31 |
| 1184634396 | Anna Maria Roberts | Physician Assistant | 3900 N Buffalo St, Orchard Park, NY 14127-1842 | 2006-08-09 |
| 1457360729 | Raymond J Hirtzel | Physician Assistant | 3671 Southwestern Blvd, Suite 207, Orchard Park, NY 14127-1752 | 2006-08-05 |
| 1316992985 | Matthew J Graziano | Physician Assistant | 3900 N Buffalo St, Orchard Park, NY 14127-1842 | 2006-05-23 |
| 1851341093 | Anne Kromer | Physician Assistant | 3725 N Buffalo St, Suite A, Orchard Park, NY 14127-1853 | 2006-05-10 |
| 1750339693 | Stephen Reinhart | Physician Assistant | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2006-05-04 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
Please comment or provide details below to improve the information on NOEL B RIDGE.
| 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.