Provider Demographics
NPI:1023265261
Name:RIDGWAY, JAMES MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MATTHEW
Last Name:RIDGWAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 THE CITY DR S
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3201
Mailing Address - Country:US
Mailing Address - Phone:714-456-5853
Mailing Address - Fax:714-456-5747
Practice Address - Street 1:1231 116TH AVE NE STE 900
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3822
Practice Address - Country:US
Practice Address - Phone:425-365-4970
Practice Address - Fax:425-365-4969
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2019-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA95785207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology