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GARY C RIDENOUR MD A PROF CORP
NPI 1043253727
Family Medicine in Fallon, NV

Active since June 13, 2006
625 W WILLIAMS AVE, STE B, FALLON, NV 89406(775) 423-6400(775) 423-9411 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gary C Ridenour Md A Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY C RIDENOUR MD A PROF CORP (NPI 1043253727) is a healthcare organization registered as a family medicine in Fallon, Nevada and active in the NPI registry since June 2006. The organization lists Gary Charles Ridenour, Md, as its authorized official.

NPPES Registry Identity

NPI1043253727
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGARY C RIDENOUR MD A PROF CORP
Location Address625 W WILLIAMS AVE, STE BFallon, NV 89406
Mailing AddressPo Box 1912Fallon, NV 89407 · (775) 423-6400 · Fax (775) 423-9411
Phone(775) 423-6400
Fax(775) 423-9411
Organization SubpartNo
Authorized OfficialGary Charles RidenourMd · (775) 423-6400
Enumeration DateJune 13, 2006
Last NPPES UpdateMay 31, 2011
✔ NPI 1043253727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
625 W WILLIAMS AVE, Fallon, NV 89406
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Other Identifiers 3

Medicare UPINC96500
Medicare ID-Type UnspecifiedVMD4525NV
Medicaid002001209NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary C Ridenour MD A Prof Corp's NPI number?

The NPI number for Gary C Ridenour MD A Prof Corp is 1043253727. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Gary C Ridenour MD A Prof Corp located?

Gary C Ridenour MD A Prof Corp is located at 625 W Williams Ave Ste B, Fallon, NV 89406. The listed phone number is (775) 423-6400.

What is Gary C Ridenour MD A Prof Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gary C Ridenour MD A Prof Corp was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.