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

Jared Ridenour, PA

Individual provider Physician Assistant · NPI 1619441177

Jared Ridenour, PA is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2018, 8 years ago. Practices with Ahs Oklahoma Physician Group LLC, a 315-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6802 S Olympia Ave Ste 300
Tulsa, OK 74132-1826
Phone: (918) 749-0762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3021 (OK)

Record details

NPI number1619441177
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing address6802 S Olympia Ave Ste 300, Tulsa, OK 74132-1826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ahs Oklahoma Physician Group Llc — 315 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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