DR. ROBERT GLADSTONE RIDOUT III


Address: 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908
Phone: 2102925282

DR. ROBERT GLADSTONE RIDOUT III (NPI# 1144426826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144426826
Entity Type Individual
Full Name DR. ROBERT GLADSTONE RIDOUT III
Credential M.D.
Practice Address 2200 Bergquist Dr Ste 1
Lackland A F B
TX 78236-9908
Practice Telephone 2102925282
Mailing Telephone 2102925282
Enumeration Date 2007-06-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 286500000X Military Hospital E1250 TX Hospitals

Other Providers ROBERT RIDOUT

NPI Name Taxonomy Address Enumeration
1710967146 Robert M Ridout Pathology 5405 Plaza Dr, Texarkana, TX 75503-1662 2006-01-20
1407847239 Robert Erick Ridout Pediatrics 1 Jarrett White Rd, Mchk-pe, Newborn Medicine Service, Tripler Amc, HI 96859-5001 2005-11-01

Office Location

Street Address 2200 BERGQUIST DR STE 1
City LACKLAND A F B
State TX
Zip Code 78236-9908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467891366 Samantha Luanne Guy Physician Assistant 2200 Bergquist Dr Ste 1, Attn: Credentials (sghc), Lackland A F B, TX 78236-9908 2013-06-24
1427492545 Oscar Escano General Practice 2200 Bergquist Dr Ste 1, 59 Mhs/sgowv1, Lackland A F B, TX 78236-9908 2013-04-19
1881935112 J T Floyd Physician Assistant 2200 Bergquist Dr Ste 1, Attn: Credentials (sghc), Lackland A F B, TX 78236-9908 2013-03-12
1144583352 Cleann Toner Pharmacist 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 2012-06-21
1417223561 Nancy Vogelgesang Pharmacist 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 2012-03-22
1295011641 Stephen Garrett Ray Nurse Practitioner 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 2011-10-31
1396029559 Daniel Sung Oh Military Health Care Provider 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 2011-10-06
1184919763 Marley Cranford Smith Case Manager/Care Coordinator 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 2011-06-13
1770881633 Jennifer B Gillespie Student in an Organized Health Care Education/Training Program 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 2011-03-02
1972804540 Nilofer N Pervez Arthur Pharmacist 2200 Bergquist Dr Ste 1, Lackland Air Force Base, Lackland A F B, TX 78236-9908 2010-11-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063047363 Arnoldo Arturo Gonzalez Jr. Specialist/Technologist 1033 Truemper St, Lackland Afb, TX 78236 2020-03-06
1023643343 Meredith Grace Cockerell Specialist/Technologist W Military Drive, San Antonio, TX 78236 2020-03-06
1578120598 Hali Rashelle Hall Dentist 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 2019-05-24
1952967077 Paul Fianza Boseman Nurse Practitioner 1106 Wilford Hall Loop, San Antonio, TX 78236 2019-05-14
1689161978 Kelly Jones Buckshire Dentist Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 2018-04-23
1902308570 Roger Louis Farney Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 2018-02-28
1568916856 Thomas Maxwell Woolf Dentist 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 2016-08-04
1831544956 Michael Veronneau Student in an Organized Health Care Education/Training Program 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 2016-04-26
1376906958 David Kephart Jr. General Practice 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 2016-04-01
1184084089 Olivia Arballo Dermatology Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 2016-03-04
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Taxonomy Information

Taxonomy Code 286500000X
Grouping Hospitals
Classification Military Hospital

Taxonomy Definition

A health care facility operated by the Department of Defense.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578692638 D'anna Linda-marie Sullivan Military Hospital 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 2007-03-05
1467507947 Wilford Hall Medical Center Military Hospital 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 2007-01-24
1124198809 Brooks City Base Clinic Military Hospital 2200 Bergquist Dr, Attn Credentials (cmc) Suite One, Lackland A F B, TX 78236-9907 2006-11-09
1760416614 Wilford Hall Medical Center Military Hospital 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 2006-07-10
1912968595 Wilford Hall Medical Center Military Hospital 2200 Bergquist Dr, Suite 1 Attn: Credentials Cmc, Lackland A F B, TX 78236-9907 2006-03-31
1861467193 Wilford Hall Medical Center Military Hospital 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236-9907 2006-02-21
1366423741 Us Army Military Hospital 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 2005-11-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851773535 Wbamc Dept of Medicine/im Training Program Military Hospital 5005 N. Piedras Street, Attn: Dom/im Program Wbamc, El Paso, TX 79920-5001 2015-06-18
1831578087 Alma Denise Harman Military Hospital 13275 Emerald Creek Dr, Horizon City, TX 79928-6556 2015-05-20
1104216332 Va Medical Center Military Hospital 10707 W Interstate 10 Apt 436, San Antonio, TX 78230-1674 2015-01-26
1366858938 Baxter Healthcare Corporation Military Hospital 1618 Shady Holw, New Braunfels, TX 78132-2354 2014-07-03
1215353784 Elizabeth Arnold Military Hospital 4539 Bissonnet St, Apt. 1, Bellaire, TX 77401-3127 2014-03-08
1770859878 Oleg Balter Military Hospital 6231 Colony Crk, San Antonio, TX 78240-5320 2012-03-22
1255617676 Department of Veterans Affairs Military Hospital 3022 Heritage Creek Oaks, Houston, TX 77008-6156 2011-10-31
1528357878 Baylor College of Medicine Military Hospital 1709 Dryden Rd Ste 1100, Houston, TX 77030-2414 2011-04-06
1578898029 Baylor College of Medicine Military Hospital 3103 Fairhope St, Houston, TX 77025-3228 2009-10-15
1548498058 Yaoyao Zhu Military Hospital 1320 Austin Hwy, San Antonio, TX 78209 2009-06-24
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Competitor

Search similar providers

City LACKLAND A F B
Zip Code 78236

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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