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

Shane Thomas Ridge, DO

Individual provider Family Medicine Physician · NPI 1780884569

Shane Thomas Ridge, DO is a Family Practice in Westbrook, Connecticut. Graduated from College of Osteo Med of the Pacific at Pomona in 2004, 22 years ago. Practices with Mhs Primary Care, Inc, a 177-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
22
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
CT
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

250 Flat Rock Pl 2nd Fl
Westbrook, CT 06498-1565
Phone: (860) 358-3640
Fax: (860) 358-8656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 045427 (CT)

Record details

NPI number1780884569
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 20, 2007
Last updated in NPPESApril 11, 2017
Mailing address28 Crescent St, Middletown, CT 06457-3654

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 2004 (22 years in practice)
Group practice Mhs Primary Care, Inc. — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Westbrook