Active NPI 1205801966 Individual Practitioner Male Practitioner

Dr. Lee H Ridenour , MD

Internal Medicine • Tyler, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Lee Ridenour, MD is a certified Internal Medicine practicing in Tyler, TX. With approximately 48 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1978, Dr. Ridenour delivers high-quality medical care to the local community at 520 E DOUGLAS BLVD.

Dr. Ridenour is affiliated with Christus Trinity Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 E Douglas Blvd

Tyler, TX 757028307

Telephone 9035931721

Associated Practice Facility / Clinic

🏢 Trinity Clinic Facility NPI 1366671216

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +26.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (9538 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ridenour (48 Years) 48 Yrs

Tyler Specialty Average (21.1 Years) 21.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	240	$289.00	$94.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	334	334	$295.00	$128.42
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	308	202	$20.70	$16.20
99213 Established patient office or other outpatient visit, typically 15 minutes	186	177	$204.00	$64.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	182	128	$406.00	$141.15
36415 Insertion of needle into vein for collection of blood sample	84	50	$30.00	$8.65
93880 Ultrasound of both sides of head and neck blood flow	48	48	$236.88	$37.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	17	$228.66	$115.80
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	34	$19.00	$7.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	34	17	$27.00	$7.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	16	$159.00	$77.26
20610 Aspiration and/or injection of fluid from large joint	22	22	$234.09	$47.78
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$377.00	$129.50
99495 Transitional care management services for problem of at least moderate complexity	20	16	$463.00	$136.83
99239 Hospital discharge day management, more than 30 minutes	19	15	$234.00	$111.66
69210 Removal of impacted ear wax	19	18	$161.00	$31.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$119.00	$52.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$377.00	$163.74
17110 Destruction of up to 14 skin growths	11	11	$389.00	$67.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	226	$289.00	$95.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	314	314	$295.00	$126.17
99213 Established patient office or other outpatient visit, typically 15 minutes	237	220	$204.00	$64.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	154	104	$406.00	$139.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	42	$228.00	$115.05
36415 Insertion of needle into vein for collection of blood sample	64	45	$19.91	$8.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	29	$159.00	$77.43
99239 Hospital discharge day management, more than 30 minutes	49	38	$234.00	$110.00
99495 Transitional care management services for problem of at least moderate complexity	47	40	$463.00	$134.44
93880 Ultrasound of both sides of head and neck blood flow	44	44	$172.86	$37.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	28	$19.00	$7.97
20610 Aspiration and/or injection of fluid from large joint	30	23	$227.40	$44.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$441.00	$165.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	18	$119.00	$50.89
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	21	16	$27.00	$7.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$377.00	$161.78
69210 Removal of impacted ear wax	20	19	$161.00	$31.80
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$377.00	$128.06
17000 Destruction of skin growth	12	12	$230.00	$37.69
17110 Destruction of up to 14 skin growths	11	11	$389.00	$65.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	345	255	$258.43	$95.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	323	323	$274.50	$127.29
99213 Established patient office or other outpatient visit, typically 15 minutes	306	275	$183.20	$64.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	133	90	$352.54	$141.47
36415 Insertion of needle into vein for collection of blood sample	101	61	$11.00	$2.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	31	$228.00	$98.47
93880 Ultrasound of both sides of head and neck blood flow	61	60	$133.84	$37.67
20610 Aspiration and/or injection of fluid from large joint	38	29	$221.18	$43.35
99239 Hospital discharge day management, more than 30 minutes	36	27	$234.61	$101.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	34	22	$28.68	$7.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	18	$159.71	$68.86
99495 Transitional care management services for problem of at least moderate complexity	28	28	$416.71	$139.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	24	$117.88	$51.30
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$374.82	$162.96
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$366.74	$130.60
81001 Manual urinalysis test with examination using microscope, automated	18	16	$12.61	$3.14
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	18	12	$89.67	$39.74
69210 Removal of impacted ear wax	15	15	$159.20	$31.72
99226 Subsequent observation care, typically 35 minutes per day	14	14	$228.29	$97.63
99496 Transitional care management services for problem of high complexity	12	11	$512.25	$190.06
17000 Destruction of skin growth	11	11	$226.45	$38.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	332	332	$252.00	$130.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	230	$236.00	$97.26
99213 Established patient office or other outpatient visit, typically 15 minutes	290	261	$161.00	$66.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	132	96	$316.00	$144.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99	31	$228.00	$101.03
36415 Insertion of needle into vein for collection of blood sample	81	49	$11.00	$3.00
93880 Ultrasound of both sides of head and neck blood flow	57	56	$136.00	$38.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	14	$160.00	$70.30
20610 Aspiration and/or injection of fluid from large joint	35	25	$224.86	$48.52
99239 Hospital discharge day management, more than 30 minutes	33	29	$235.00	$104.01
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	30	14	$89.00	$40.28
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	30	$19.00	$8.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	20	$30.00	$7.17
99495 Transitional care management services for problem of at least moderate complexity	23	19	$355.00	$142.36
69210 Removal of impacted ear wax	22	21	$158.00	$31.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	19	$116.00	$51.96
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$362.00	$133.60
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$373.00	$166.04
81001 Manual urinalysis test with examination using microscope, automated	15	13	$13.00	$3.17
99226 Subsequent observation care, typically 35 minutes per day	15	13	$230.00	$101.00
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	11	$641.00	$33.14
99217 Hospital observation care on day of discharge	11	11	$160.00	$70.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	242	$221.30	$78.38
99213 Established patient office or other outpatient visit, typically 15 minutes	319	279	$164.07	$51.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	306	306	$232.51	$114.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	100	39	$210.52	$103.33
93880 Ultrasound of both sides of head and neck blood flow	77	77	$290.25	$39.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	54	$297.72	$110.23
36415 Insertion of needle into vein for collection of blood sample	70	44	$14.43	$2.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	20	$156.26	$72.14
99495 Transitional care management services for problem of at least moderate complexity	41	36	$428.17	$123.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	38	32	$130.74	$52.53
99239 Hospital discharge day management, more than 30 minutes	36	28	$236.33	$106.68
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	25	$21.42	$8.52
20610 Aspiration and/or injection of fluid from large joint	24	21	$231.58	$48.77
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	23	22	$367.04	$21.75
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	12	$102.62	$40.21
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$350.00	$127.65
69210 Removal of impacted ear wax	19	19	$144.74	$30.03
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	19	13	$29.53	$7.74
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	18	$546.56	$34.62
99496 Transitional care management services for problem of high complexity	18	17	$609.56	$162.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	15	$395.76	$200.89
81001 Manual urinalysis test with examination using microscope, automated	13	12	$13.00	$2.79
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$352.33	$169.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	735	451	$206.00	$76.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	395	395	$207.47	$112.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	135	51	$189.12	$101.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	81	$269.00	$107.30
93880 Ultrasound of both sides of head and neck blood flow	95	92	$457.00	$39.54
99213 Established patient office or other outpatient visit, typically 15 minutes	82	76	$168.00	$50.25
36415 Insertion of needle into vein for collection of blood sample	76	46	$19.00	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	26	$152.00	$70.64
99496 Transitional care management services for problem of high complexity	53	49	$678.00	$157.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	51	50	$26.00	$8.40
20610 Aspiration and/or injection of fluid from large joint	42	38	$242.00	$46.64
99239 Hospital discharge day management, more than 30 minutes	32	29	$238.00	$105.20
99495 Transitional care management services for problem of at least moderate complexity	25	24	$480.00	$104.69
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	13	$111.00	$39.86
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	24	18	$29.00	$7.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	18	$367.30	$175.47
69210 Removal of impacted ear wax	19	19	$130.00	$32.66
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	18	$309.00	$22.33
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$299.41	$124.85
93970 Ultrasound study of arm or leg veins with compression and maneuvers	17	17	$471.00	$33.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$144.00	$51.68
81001 Manual urinalysis test with examination using microscope, automated	12	12	$13.00	$3.45
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	11	11	$155.00	$24.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	681	447	$206.00	$76.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	380	380	$207.00	$112.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	146	46	$189.00	$100.65
93880 Ultrasound of both sides of head and neck blood flow	131	130	$457.00	$39.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	114	82	$269.00	$106.96
36415 Insertion of needle into vein for collection of blood sample	83	53	$19.00	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	24	$152.00	$70.00
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	50	49	$26.00	$8.31
99496 Transitional care management services for problem of high complexity	47	38	$678.00	$153.20
99239 Hospital discharge day management, more than 30 minutes	42	28	$238.00	$103.06
20610 Aspiration and/or injection of fluid from large joint	39	28	$238.00	$46.01
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$168.00	$50.11
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	37	19	$111.00	$40.09
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	27	20	$29.00	$8.85
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	25	25	$309.00	$22.05
93970 Ultrasound study of arm or leg veins with compression and maneuvers	22	22	$471.00	$33.80
99495 Transitional care management services for problem of at least moderate complexity	21	20	$480.00	$107.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	13	$367.00	$190.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	18	$144.00	$49.78
69210 Removal of impacted ear wax	17	16	$130.00	$31.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$298.00	$123.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	788	479	$206.00	$75.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	383	383	$207.00	$110.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	157	69	$244.58	$100.62
93880 Ultrasound of both sides of head and neck blood flow	135	133	$457.00	$39.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	135	93	$269.00	$107.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	48	$204.86	$69.88
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	70	64	$26.00	$8.28
36415 Insertion of needle into vein for collection of blood sample	64	46	$19.00	$2.94
99239 Hospital discharge day management, more than 30 minutes	55	45	$266.30	$103.96
20610 Aspiration and/or injection of fluid from large joint	54	38	$221.00	$41.50
99213 Established patient office or other outpatient visit, typically 15 minutes	46	42	$168.00	$47.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	42	$806.52	$187.06
99495 Transitional care management services for problem of at least moderate complexity	35	33	$480.00	$107.10
93970 Ultrasound study of arm or leg veins with compression and maneuvers	34	29	$471.00	$33.98
99496 Transitional care management services for problem of high complexity	34	31	$678.00	$151.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	15	$111.00	$39.41
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	30	29	$309.00	$21.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	20	$144.00	$51.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$298.00	$123.06
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	12	$29.00	$10.45
17000 Destruction of skin growth	15	15	$147.00	$42.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$524.87	$132.01
99220 Hospital observation care, typically 70 minutes	13	13	$709.96	$179.54

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX F1937

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

123697803 (TX)

Commercial Insurance / Payer ID Tricare

75-2616977-042 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

650 E Lennon Dr, Emory, TX 754403227

Phone: 9034737234

Christus Trinity Clinic

5321 S Fm, Holly Lake Ranch, TX 757654839

Phone: 9037692990

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

18780 Interstate 20, Canton, TX 751033593

Phone: 9035674841

Christus Trinity Clinic

105 Zeid Blvd, Henderson, TX 756526070

Phone: 9035952283

Christus Trinity Clinic

2001 W Ferguson Rd, Mt Pleasant, TX 754552962

Phone: 9036067480

Christus Trinity Clinic

800 E Dawson St, Tyler, TX 757012036

Phone: 9035101186

Christus Trinity Clinic

3201 S Loop, Palestine, TX 758016901

Christus Trinity Clinic

520 Douglas Blvd, Tyler, TX 757028307

Phone: 9035931721

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

1302 N Pacific St, Mineola, TX 757731022

Phone: 9035695383

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Mark Vig , MD

Internal Medicine

NPI 1023251527

Doctor of Medicine (M.D.)

Dr. Antoinette Lenton , MD

Psychiatry & Neurology - Psychiatry

NPI 1063825024

Doctor of Medicine (M.D.)

Marcia Green , FNP

Nurse Practitioner

NPI 1134163868

Family Nurse Practitioner

Dr. William Miller , MD

Obstetrics & Gynecology - Gynecology

NPI 1164496907

Doctor of Medicine (M.D.)

Robert Clarke , PA

Physician Assistant

NPI 1225162753

Physician Assistant

Dr. Glen Sorrentino , MD

Internal Medicine

NPI 1265407654

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2014

Registered at 520 E DOUGLAS BLVD, TYLER, TX 757028307 (Tel: 9035931721)

📍

Updated Business Mailing Address October 13, 2014

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)

👤

Provider Name / Credentials Updated October 13, 2014

Recorded as LEE RIDENOUR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2014

Internal Medicine (License #F1937 in TX)

🟢

Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205801966

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 17, 2006

Last Update: October 13, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246450

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.