Search › Indiana › 363LN0000X
Gregory Ridenour
NPI 1447708979 · on the registry since 2016
Practice
- Address
- 7950 W Jefferson Blvd
Fort Wayne, IN 46804 - Phone
- (260) 435-7001
- Organisation at this address
- Walgreen Co
Iom Health System Lp
Iom Health System Lp
Iom Health System Lp
Iom Health Systems, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 152
Additional practice sites
- 700 Childrens Dr, Columbus, OH
- 11115 Parkview Plaza Dr, Fort Wayne, IN
- 111 S Grant Ave, Columbus, OH
- 5100 W Broad St, Columbus, OH
- 1010 Refugee Rd, Pickerington, OH
Registry record
- Primary taxonomy
- 363LN0000X
363LN0000X
- Also registered as
- 363LN0005X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana