Organization · Type 2 NPI

Ridge Medical Group PA

Foot & Ankle Surgery Podiatrist · Ammon, ID

NPI number 1922736842 Active

Practice location

2677 E 17th St Ste 200
Ammon, ID 83406-6612

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

Foot & Ankle Surgery Podiatrist: Definition to come...

Another provider at this address

Braden Jenkins, DPMFoot & Ankle Surgery Podiatrist Ammon, ID NPI 1609337682

NPI record

NPI: 1922736842
Entity type: Organization (Type 2)
Issued: Aug 9, 2022
Last updated: Sep 30, 2022
Status: Active

Other names

<unavail>
The Ridge Foot and Ankle Center · doing business as
The Ridge Foot and Ankle Center · doing business as

Authorized official

Braden Jenkins, DPM
President
(208) 881-2100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1922736842

Ridge Medical Group PA's National Provider Identifier is 1922736842, issued on Aug 9, 2022. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Ammon, ID. The record was last updated on Sep 30, 2022.