DR. LEE H RIDENOUR (NPI# 1205801966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205801966 |
| Entity Type | Individual |
| Full Name | DR. LEE H RIDENOUR |
| Credential | MD |
| Practice Address |
520 E Douglas Blvd Tyler TX 75702-8307 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9035931721 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | F1937 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 123697803 | 05 | |
| TX | TRICARE | 75-2616977-042 | 01 |
| Street Address |
520 E DOUGLAS BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316917750 | David H Beaird | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-01-26 |
| 1487973350 | Rebecca L Monahan | Dietitian, Registered | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2010-05-18 |
| 1366671216 | Trinity Clinic | Clinic/Center | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2009-07-13 |
| 1619152139 | Amanda Elizabeth Mullins | Nurse Practitioner | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2008-01-03 |
| 1225162753 | Robert Brooks Clarke | Physician Assistant | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2007-03-15 |
| 1356364178 | Neda Esfandiari | Family Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-07-25 |
| 1316966971 | Albert C Lee | Specialist | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-07-18 |
| 1134163868 | Marcia W Green | Nurse Practitioner | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-06-15 |
| 1407896293 | Andria Beth Cardinalli-stein | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-06-08 |
| 1649246315 | James Gregory Stovall | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261329 | Metabolic Innovations Inc | Internal Medicine | 1420 Wsw Loop 323 Ste 3, Tyler, TX 75701-9355 | 2020-06-25 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1235487638 | Jaaca Medical | Internal Medicine | 9334 Chisholm Trl, Tyler, TX 75703-0407 | 2012-08-16 |
| 1306040092 | Byron Seth Decamp | Internal Medicine | 619 S Fleishel Ave Ste 203, Tyler, TX 75701-2067 | 2007-06-14 |
| 1225128259 | Peter Pitonak | Internal Medicine | 703 E Fleishel Ave, Ste 4000, Tyler, TX 75701-2015 | 2006-10-13 |
| 1699867366 | Sharlet Slough Do | Internal Medicine | 6115 New Copeland Rd Ste 240, Tyler, TX 75703 | 2006-09-29 |
| 1346349297 | Cynthia J Shepherd | Internal Medicine | 5414 S Broadway, Tyler, TX 75703-1335 | 2006-09-21 |
| 1245339183 | Kevin Glen May | Internal Medicine | 6723 Highlands Ct, Tyler, TX 75703-0584 | 2006-09-21 |
| 1144329087 | David W Ball | Internal Medicine | 5407 New Copeland Rd Ste 200, Tyler, TX 75703 | 2006-09-21 |
| 1134132749 | David James Sloan | Internal Medicine | 1100 E Lake Street, Suite 240, Tyler, TX 75701 | 2006-08-14 |
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| 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.