Herbert W. Ridyard in Jefferson City - Surgery

Herbert W. Ridyard - NPI 1043246887

Herbert W. Ridyard is a Surgery in Jefferson City, Tennessee. Herbert W. Ridyard practices all healthcare services and medical treatments related to Surgery. The NPI Number for Herbert W. Ridyard is 1043246887. The last update date is 2020-09-08.

Herbert W. Ridyard's current location address is 120 Hospital Dr Ste 260, Jefferson City, Tennessee. You can contact this provider via phone number 8654712250 and fax number 8654712251. The mailing address for Herbert W. Ridyard is 120 Hospital Dr Ste 260, Jefferson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Herbert W. Ridyard
Address 120 Hospital Dr Ste 260, Jefferson City, Tennessee
Phone Number 8654712250
Fax Number 8654712251
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043246887
Provider Enumeration Date 2006-06-23
Last Updated Date 2020-09-08

Provider Mailing Address Detail

Address 120 Hospital Dr Ste 260
City Jefferson City
State Tennessee (TN)
Post Code 377605283
Phone Number 8654712250
Fax Number 8654712251

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No MD52380
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51357 CT HEALTHNET
757224 CT CONNECTICARE
1239490 CT BLUE CARE FAMILY PLAN
010023949CT03 CT ANTHEM BLUE CROSS / BLUE
782058 CT AETNA/US HEALTHCARE
WIS019 CT OXFORD HEALTH PLAN
P02114 CT CHN
1239490 CT --
1280734005 CT CIGNA

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FAQs about Herbert W. Ridyard

What is the unique identifier code issued to Herbert W. Ridyard by the Centers for Medicare & Medicaid Services?

The Herbert W. Ridyard has been assigned the NPI (National Provider Identifier) 1043246887. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Herbert W. Ridyard's facilities are geographically located?

The facilities of Herbert W. Ridyard are physically situated at the following location: 120 Hospital Dr Ste 260, Jefferson City, TN, 377605283.

What is Herbert W. Ridyard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Herbert W. Ridyard is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043246887 to Herbert W. Ridyard?

The Centers for Medicare & Medicaid Services originally issued the 1043246887 to Herbert W. Ridyard on 2006-06-23.

When was the information pertaining to Herbert W. Ridyard most recently updated or revised?

The details related to Herbert W. Ridyard, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-08.

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