| Herbert W Ridyard Jr, MD | |
|
120 Hospital Dr Ste 260, Jefferson City, TN 37760-5283 | |
| (865) 471-2250 | |
| (865) 471-2251 |
| Full Name | Herbert W Ridyard Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 120 Hospital Dr Ste 260, Jefferson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043246887 | NPI | - | NPPES |
| 051357 | Other | CT | HEALTHNET |
| 757224 | Other | CT | CONNECTICARE |
| 001239490 | Other | CT | BLUE CARE FAMILY PLAN |
| 010023949CT03 | Other | CT | ANTHEM BLUE CROSS / BLUE |
| 0782058 | Other | CT | AETNA/US HEALTHCARE |
| WIS019 | Other | CT | OXFORD HEALTH PLAN |
| P02114 | Other | CT | CHN |
| 001239490 | Medicaid | CT | |
| 1280734005 | Other | CT | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD52380 (Tennessee) | Primary |
| 208600000X | Surgery | 023949 (Connecticut) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Herbert W Ridyard Jr, MD 120 Hospital Dr Ste 260, Jefferson City, TN 37760-5283 Ph: (865) 471-2250 | Herbert W Ridyard Jr, MD 120 Hospital Dr Ste 260, Jefferson City, TN 37760-5283 Ph: (865) 471-2250 |
Evan Eugene Foulke, MD Surgery Medicare: Medicare Enrolled Practice Location: 120 Hospital Dr Ste 260, Jefferson City, TN 37760 Phone: 865-471-2250 | |
Allison Renee Farris, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste G20, Jefferson City, TN 37760 Phone: 865-471-2250 Fax: 865-471-2251 | |
Mr. Leslie Walton Milligan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1810 Bishop Street, Suite C, Jefferson City, TN 37760 Phone: 865-475-2061 Fax: 865-475-0739 |