Provider Demographics
NPI:1811966773
Name:ALDRIDGE, JOHN WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAM
Last Name:ALDRIDGE
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:730 THIMBLE SHOALS BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4562
Mailing Address - Country:US
Mailing Address - Phone:757-873-1554
Mailing Address - Fax:757-873-3239
Practice Address - Street 1:730 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4562
Practice Address - Country:US
Practice Address - Phone:757-873-1554
Practice Address - Fax:757-873-3239
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232223207XS0106X, 207XS0114X, 207XS0117X, 207XX0004X, 207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6391158001OtherCIGNA
VA245927OtherMAMSI
VA541869550OtherVIRGINIA HEALTH NETWORK
VA55457OtherSENTARA HEALTH PLANS
VA0901242OtherUNITED HEALTHCARE
VA425371OtherSOUTHERN HEALTH SERVICES
VA541869550OtherPHCS
VA7752355OtherAETNA
VA54-1869550OtherTRICARE/CHAMPUS
VA64-0865-6Medicaid
VA266406OtherBLUE CROSS BLUE SHIELD OF VIRGINIA
VA541869550OtherPHCS
VA266406OtherBLUE CROSS BLUE SHIELD OF VIRGINIA
VA200001166Medicare ID - Type Unspecified