Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Laura B Ridge, RPA-C

Individual provider Medical Physician Assistant · NPI 1104821008

Miss. Laura B Ridge, RPA-C is a Physician Assistant in Orchard Park, New York. Qualified in 2001, 25 years ago. Practices with David P Kowalski MD Family Practice PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2005
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Practice location Address checks out

3065 Southwestern Blvd Ste 104
Orchard Park, NY 14127-1239
Phone: (716) 677-3065
Fax: (716) 712-0497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 008329 (NY)

Record details

NPI number1104821008
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice David P Kowalski Md Family Practice Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orchard Park