Active NPI
William Eric Rideout, M.D.
- Student in an Organized Health Care Education/Training Program
- Durham, NC
National Provider Identifier
1760793350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 200 Trent Drive
Duke University Medical Center Building CR2 Room 0584
Durham, NC 27702 - Phone
- (919) 684-6726
- Fax
- (919) 684-6002
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | Primary |
Addresses
Primary practice location
200 Trent Drive
Duke University Medical Center Building CR2 Room 0584
Durham, NC 27702
Mailing address
6854 Twin Lakes Ave
Ottawa, ON K4P 1P1
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1760793350",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "6854 TWIN LAKES AVE",
"city": "OTTAWA",
"state": "ON",
"postal_code": "K4P 1P1"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TRENT DRIVE",
"address_2": "DUKE UNIVERSITY MEDICAL CENTER BUILDING CR2 ROOM 0584",
"city": "DURHAM",
"state": "NC",
"postal_code": "27702",
"telephone_number": "919-684-6726",
"fax_number": "919-684-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDEOUT",
"first_name": "WILLIAM",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.