Lori Ann Ridder, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01291 Issued in KS

Practice address

300 W North St
Sedan, KS 67361-1051

Phone

(620) 725-3818

Fax

(620) 725-5433

NPI assigned

Feb 12, 2009

Last updated

Feb 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kansas Surgical Consultants, LLP

  • Surgery Physician
  • Wichita, KS
  • NPI 1215903976
  Medicare reassignment
• Saint Lukes Hospital of Garnett Inc

  dba Anderson County Hospital

  • General Practice Physician
  • Garnett, KS
  • NPI 1619901725
  Medicare reassignment
• Saint Lukes Hospital of Garnett Inc

  dba Anderson County Hospital

  • Family Medicine Physician
  • Garnett, KS
  • NPI 1073531174
  NPD
• Saint Lukes Hospital of Garnett Inc

  dba Family Care Center South

  • Rural Health Clinic/Center
  • Colony, KS
  • NPI 1487075586
  NPD
• Sumner Community Hospital LLC

  • Emergency Medicine Physician
  • Wellington, KS
  • NPI 1225507262

  Physician Assistant

  NPD
• Sumner Regional Medical Center

  • General Acute Care Hospital
  • Wellington, KS
  • NPI 1962408914
  NPD
• Central Plains Cardiothoracic Surgery, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Wichita, KS
  • NPI 1124215900
  NPD (past)
• Emergency Services of Kansas, PA

  • Internal Medicine Physician
  • Newton, KS
  • NPI 1104864503
  NPD (past)
• Runway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1063751352
  NPD (past)

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1598904633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W NORTH ST",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673611051",
            "telephone_number": "620-725-3818",
            "fax_number": "620-725-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W NORTH ST",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673611051",
            "telephone_number": "620-725-3818",
            "fax_number": "620-725-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne Lear, RD, LD
• Levi Lear, PA-C
• Wade Matherly, P.A.
• Pharmacy Innovations LLC (Creative Health Pharmacy of Sedan)
• Pleasant Valley Nursing, LLC (Pleasant Valley Manor)
• Elizabeth Catherine Ross
• Sedan Area Emergency Medical Service District 2 Inc
• Sedan City Hospital
• Sedan City Hospital
• Sedan City Hospital

• Physician Assistant in Sedan, KS
• Providers in Sedan, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.