Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gordon Alexander Ridgeway, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114663994

Gordon Alexander Ridgeway, MD is a Student in an Organized Health Care Education/Training Program in Wynnewood, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone: (484) 476-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114663994
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2022
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022
Mailing address100 E Lancaster Ave, Wynnewood, PA 19096-3450

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