Individual
JASON D RIDGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 MEADOW LANE CT, SHEFFIELD VILLAGE, OH 44035-1469
(440) 934-0276
(440) 934-0272
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35078861
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080173477
RR MEDICARE
OH
05
—
2254877
—
OH
Enumeration date
08/16/2005
Last updated
12/16/2020
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