Gary C Ridenour MD A Prof Corp
Gary C Ridenour MD A Prof Corp is a healthcare organization registered as Family Medicine Physician in Fallon, NV, holding Type 2 (organization) NPI 1043253727 since 2006. The authorized official on file is Gary Ridenour, MD.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043253727 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gary C Ridenour MD A Prof Corp |
| Practice address | 625 W WILLIAMS AVE, STE B, Fallon, NV, 89406 |
| Phone | 7754236400 |
| Fax | 7754239411 |
| Enumeration date | 2006-06-13 |
| Last updated in NPPES | 2011-05-31 |
Authorized official
| Name | Gary Ridenour |
|---|---|
| Title | MD |
| Phone | 7754236400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002001209 | Medicaid | NV | — |
Copy-ready billing details
Provider: Gary C Ridenour MD A Prof Corp NPI: 1043253727 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 625 W WILLIAMS AVE, STE B, Fallon, NV, 89406
Verify this record
Cross-check NPI 1043253727 against the authoritative CMS record: view Gary C Ridenour MD A Prof Corp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Gary C Ridenour MD A Prof Corp?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-05-31.