Mark J Ridenour (NPI# 1265630636, PAC ID# 9830376011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1265630636 |
| PAC ID by PECOS | 9830376011 |
| Professional Enrollment ID | I20110616000171 |
| Full Name | Mark J Ridenour |
| Organization Legal Name | WINNEBAGO ORAL SURGERY, S.C. |
| Address |
1875 W Pointe Dr Oshkosh WI 54902-4174 |
| Phone Number | 9202314600 |
| Gender | M |
| Medical School | MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY |
| Graduation Year | 2006 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 4385722693 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 155 N Rolling Meadows Dr, Fond Du Lac, WI 54937-9482 | 9209215001 | WINNEBAGO ORAL SURGERY, S.C. |
| 1875 W Pointe Dr, Oshkosh, WI 54902-4174 | 9202314600 | WINNEBAGO ORAL SURGERY, S.C. |
| Organization Legal Name | WINNEBAGO ORAL SURGERY, S.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Mcfarlane | Oral Surgery | Winnebago Oral Surgery, S.c. | 1875 W Pointe Dr, Oshkosh, WI 54902-4174 |
| Street Address |
1875 W POINTE DR |
| City | OSHKOSH |
| State | WI |
| Zip | 54902-4174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Mcfarlane | Oral Surgery | Winnebago Oral Surgery, S.c. | 1875 W Pointe Dr, Oshkosh, WI 54902-4174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas G Peterson | Chiropractic | 1765 Taft Ave, Oshkosh, WI 54902-3220 | |
| Bobby B Yun | Family Medicine | Urgent Care Physcians, Ltd | 600 N Koeller St, Oshkosh, WI 54902-3241 |
| John P Mancl | Chiropractic | Fletcher Chiropractic Office Sc | 440 N Koeller St, Oshkosh, WI 54902-4111 |
| Teresa M Van Aacken | Physical Therapy | Excel Physical Therapy LLC | 480 N Koeller St, Oshkosh, WI 54902-4111 |
| Adam Francis Mootz | Chiropractic | Belville and Associates Chiropractic Clinic Sc | 440 N Koeller St, Oshkosh, WI 54902-4111 |
| Joshua A Belville | Chiropractic | Belville and Associates Chiropractic Clinic Sc | 440 N Koeller St, Oshkosh, WI 54902-4111 |
| Kimberly C Fletcher | Chiropractic | Fletcher Chiropractic Office Sc | 440 N Koeller St, Oshkosh, WI 54902-4111 |
| Nicholas M Belville | Chiropractic | Belville and Associates Chiropractic Clinic Sc | 440 N Koeller St, Oshkosh, WI 54902-4111 |
| Brandon M Fletcher | Chiropractic | Fletcher Chiropractic Office Sc | 440 N Koeller St, Oshkosh, WI 54902-4111 |
| Brittany Bartel | Chiropractic | Fletcher Chiropractic Office Sc | 440 N Koeller St, Oshkosh, WI 54902-4111 |
| Find all physicians in zip 54902 | |||
| City | OSHKOSH |
| Zip Code | 54902 |
| Specialty | ORAL SURGERY |
| City + Specialty | OSHKOSH + ORAL SURGERY |
Please comment or provide details below to improve the information on Mark J Ridenour.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.