Ryder Medical PC
NPI 1497260780ActiveOrganization· Anesthesiology· Flagstaff, AZ
Anesthesiology in Flagstaff, Arizona, registered in NPPES in December 2017. The authorized official on file is Judith Kelley, MD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497260780 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2017 |
| Last updated in NPPES | Mar 10, 2021 |
| Certified by provider | Mar 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 30354 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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