| Cassondra Michelle Ridgway, DO, MS | |
|
102 S Main St, Sand Springs, OK 74063-6509 | |
| (918) 245-2286 | |
| (918) 241-4366 |
| Full Name | Cassondra Michelle Ridgway |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 102 S Main St, Sand Springs, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407435423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7653 (Oklahoma) | Primary |
| Entity Name | Warren Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassondra Michelle Ridgway, DO, MS 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: (888) 247-0125 | Cassondra Michelle Ridgway, DO, MS 102 S Main St, Sand Springs, OK 74063-6509 Ph: (918) 245-2286 |
David E Wiegman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Main Street, Sand Springs, OK 74063 Phone: 918-245-2286 Fax: 918-241-4366 | |
Curtis Coggins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 402 W Morrow Rd, 100, Sand Springs, OK 74063 Phone: 918-245-1328 Fax: 918-293-3181 | |
Jahangir Khan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 E Broadway St, Sand Springs, OK 74063 Phone: 918-245-2537 Fax: 918-245-1273 | |
Kristina Price, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 302 W 2nd St Ste 600, Sand Springs, OK 74063 Phone: 800-993-8244 Fax: 866-705-6405 | |
Dr. Alexia L Dickey, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 20 E 34th St, Sand Springs, OK 74063 Phone: 918-245-9675 | |
Dr. Terence Michael Williams, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 E 34th St, Sand Springs, OK 74063 Phone: 918-245-9675 Fax: 918-245-9679 |