Chester Duane Ridenour, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

34003283R Issued in OH

Practice address

262 Neil Ave Ste 220
Columbus, OH 43215-7310

Phone

(614) 464-3937

Fax

(614) 464-0088

NPI assigned

Sep 15, 2005

Last updated

Sep 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1184619140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 NEIL AVE STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157310",
            "telephone_number": "614-464-3937",
            "fax_number": "614-464-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NEIL AVE STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157310",
            "telephone_number": "614-464-3937",
            "fax_number": "614-464-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENOUR",
        "first_name": "CHESTER",
        "middle_name": "DUANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34003283R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0812571",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180028607",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cridenour@theretinagroup.intellichartdirect.net",
            "affiliation": "N",
            "address_1": "262 Neil Ave Ste 220",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432157310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brenda M Riddle
• Kristine Riddle, LPN
• Olivia L Riddle, APRN-CNP
• Ride Excellence LLC
• Ride Solutions LLC
• Ryan G Ridenour, C.R.N.A.
• Sandra L. Ridenour, P.C.C
• Ridge Prestige Healthcare
• Jameson Scott Ridge, CPNP
• Ridgeline Recovery LLC

• Ophthalmology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.