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Active NPI 1053845776 Individual Practitioner Male Practitioner

Jonathan R Ridenour , PA-C

Physician Assistant • Montgomery, AL

Professional Overview & Biography Verified Profile Summary

Jonathan Ridenour, PA-C is a registered healthcare professional specializing in Physician Assistant in Montgomery, AL. Practice services are available at 2105 E SOUTH BLVD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2105 E South Blvd

Montgomery, AL 361162409

Telephone 3342882100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Montgomery, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.6 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
44 Specialists

Practicing in Montgomery, AL (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
109 105 $1758.00 $136.11
99284 Emergency department visit with moderate level of medical decision making
76 75 $1176.00 $92.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
53 42 $72.00 $6.65
99283 Emergency department visit with low level of medical decision making
18 18 $790.00 $49.90

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AL PA.1244

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Crista Marquardt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003835166

Certified Registered Nurse Anesthetist

Susan Mitchell , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043455462

Certified Registered Nurse Anesthetist

NPI 1053809103

Doctor of Medicine (M.D.)

Dr. Evan Broder , MD

Emergency Medicine

NPI 1073044426

Doctor of Medicine (M.D.)

Jennifer Reynolds , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083890966

Certified Registered Nurse Anesthetist

Dr. Rabia Ali , MD, MPH

Internal Medicine

NPI 1093419525

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2017

Registered at 2105 E SOUTH BLVD, MONTGOMERY, AL 361162409 (Tel: 3342882100)

📍
Updated Business Mailing Address April 19, 2017

Registered at 8400 COUNTRY CLUB WAY, APT. L29, KNOXVILLE, TN 379231844 (Tel: 8655672465)

👤
Provider Name / Credentials Updated April 19, 2017

Recorded as JONATHAN RIDENOUR, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Physician Assistant (License #PA.1244 in AL)

🟢
Initial NPI Registration & Enumeration April 19, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053845776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2017
Last Update: April 19, 2017
Sole Proprietor: No

Mailing Address

8400 Country Club Way, Apt. L29

Knoxville, TN 379231844

Phone: 8655672465

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.