GARY C RIDENOUR MD A PROF CORP – NPI #1043253727
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

GARY C RIDENOUR MD A PROF CORP is a provider located in FALLON, NV. NPPES has assigned the NPI number 1043253727 to GARY C RIDENOUR MD A PROF CORP on June 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on May 31, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARY C RIDENOUR MD A PROF CORP below.

NPI Profile for
GARY C RIDENOUR MD A PROF CORP

NPI Number
1043253727
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GARY C RIDENOUR MD A PROF CORP
Primary location
625 W WILLIAMS AVE
STE B
FALLON, NV 89406
Phone: (775) 423-6400 Fax: (775) 423-9411
Mailing address
PO BOX 1912
FALLON, NV 89407
Phone: (775) 423-6400 Fax: (775) 423-9411
Organization Subpart
No
Authorized Official
GARY RIDENOUR
MD
Phone: (775) 423-6400
Updated
Identifiers

Identifiers for GARY C RIDENOUR MD A PROF CORP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNV002001209
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.