Riddle Healthcare Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIDDLE HEALTHCARE ASSOCIATES

Practice address

1088 W Baltimore Pike
Suite #2208
Media, PA 19063-5146

Phone

(610) 891-3900

Fax

(610) 891-3919

NPI assigned

Aug 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Blair

Title

Enrollment Specialist

Phone

(610) 627-4216

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Riddle Primary Care Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1144337015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE #2208",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-891-3900",
            "fax_number": "610-891-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE #2208",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-891-3900",
            "fax_number": "610-891-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDDLE HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "610-627-4216"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017287480015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riddle Primary Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riddle Eye Associates PC
• Riddle Health Care Services
• Riddle Health Care Services
• Riddle Health Care Services
• Riddle Health Care Services
• Riddle Healthcare Associates
• Riddle Healthcare Associates
• Riddle Healthcare Associates
• Riddle Healthcare Associates Dba Bonnie B Kim MD
• Riddle Healthcare Associates Dba Rashida Kanchwala MD

• Family Medicine Physician in Media, PA
• Providers in Media, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.