Wendy Ann Ridenour, PA-C
Physician Assistant in Chandler, AZ. Individual provider (NPI-1).
NPI number1114178282
StatusActive
Last updated in NPPESMar 10, 2017
Details
- NPI
- 1114178282
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Wendy Ann Ridenour
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2008
- Last updated
- Mar 10, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 4195 | AZ | Yes |
| 363A00000X | Physician Assistant | 00180553 | TX | |
| 363A00000X | Physician Assistant | 50.003768 | OH |
Other names
- Wendy Ann Thompson (Former Name)
Practice location
1100 S Dobson RdSuite 223
Chandler, AZ 85286-6157
Phone 480-821-8888 · Fax 480-821-0888
Mailing address
1100 S Dobson RdSuite 223
Chandler, AZ 85286-6157
Phone 480-821-8888 · Fax 480-821-0888
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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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