Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Herbert W. Ridyard Jr., MD

Individual provider Surgery Physician · NPI 1043246887

Herbert W. Ridyard Jr., MD is a Surgery Physician in Jefferson City, Tennessee. Licensed in Connecticut and Tennessee. Registered with an NPI since 2006.

Licensed in
CT, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 Hospital Dr Ste 260
Jefferson City, TN 37760-5283
Phone: (865) 471-2250
Fax: (865) 471-2251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD52380 (TN)
Surgery Physician Taxonomy 208600000X · Licence 023949 (CT)

Record details

NPI number1043246887
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address120 Hospital Dr Ste 260, Jefferson City, TN 37760-5283

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