Richard A Ryder, MD | |
220 J.l. White Drive, Suite 100, Jasper, GA 30143-4894 | |
(706) 636-6500 | |
(706) 636-6502 |
Full Name | Richard A Ryder |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 220 J.l. White Drive, Jasper, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588616510 | NPI | - | NPPES |
00586567 | Medicaid | NY | |
003128026A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 119559 (New York) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 068550 (Georgia) | Primary |
Entity Name | Good Samaritan Health & Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407174675 PECOS PAC ID: 7719136209 Enrollment ID: O20120926000639 |
Mailing Address | Practice Location Address |
---|---|
Richard A Ryder, MD 175 Samaritan Dr, Jasper, GA 30143-1964 Ph: (706) 253-4673 | Richard A Ryder, MD 220 J.l. White Drive, Suite 100, Jasper, GA 30143-4894 Ph: (706) 636-6500 |
Dr. Jimmie Dale Cannon Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 220 J.l. White Drive, Suite 100, Jasper, GA 30143 Phone: 706-253-8001 Fax: 706-253-8002 | |
Karl Mareth, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143 Phone: 706-253-7340 | |
Dr. Bryan D Hooker, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 14 Sammy Mcghee Blvd Ste 204, Jasper, GA 30143 Phone: 706-253-3842 Fax: 706-253-3837 | |
Neetu Pannala-lakshma Reddy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 150, Jasper, GA 30143 Phone: 706-299-2200 | |
Dr. Michael Dan Perrino, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 134 Mountainside Village Pkwy, Building 500, Jasper, GA 30143 Phone: 706-253-7340 | |
Jason Andrew Berner, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr, Suite 110, Jasper, GA 30143 Phone: 706-253-3842 Fax: 706-253-3837 | |
Christine E. Dukes, FNP-C Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 51 Gordon Rd, Jasper, GA 30143 Phone: 706-692-9768 |