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Dr. Ryan R Ridenour, DO

Hospitalist in State College, PA. Individual provider (NPI-1).

NPI number1013969997
StatusActive
Last updated in NPPESMar 20, 2015

Details

NPI
1013969997
Entity type
Individual (NPI-1)
Name
Dr. Ryan R Ridenour
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
May 17, 2006
Last updated
Mar 20, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - HOSPITALIST
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistOS012985PAYes
207Q00000X Family MedicineOS012985PA

Practice location

1800 E Park Ave
State College, PA 16803-6709

Phone 814-278-4818 · Fax 814-234-6150

Mailing address

1800 E Park Ave
State College, PA 16803-6709

Phone 814-278-4818 · Fax 814-234-6150

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Hospitalist Physician providers in State College, PA

All 24 Hospitalist Physician providers in State College · All 1,987 providers in State College

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