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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | OS012985 | PA | Yes |
| 207Q00000X | Family Medicine | OS012985 | PA |
Practice location
1800 E Park AveState College, PA 16803-6709
Phone 814-278-4818 · Fax 814-234-6150
Mailing address
1800 E Park AveState 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.
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All 24 Hospitalist Physician providers in State College · All 1,987 providers in State College
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