Anne T. Riordan, M.D. P.C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

105913 Issued in MO

Legal business name

ANNE T. RIORDAN, M.D. P.C

Doing business as

Wildwood Dermatology

Practice address

16516 Manchester Rd
Wildwood, MO 63040-1217

Phone

(636) 458-8400

Fax

(636) 458-8404

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anne Riordan, M.D.NPI 1609985290

Title

President

Phone

(636) 458-8400

Specialties & licenses 1

Addresses

Other names 1

• Wildwood Dermatology Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne T Riordan, MD

  • Dermatology Physician
  • Wildwood, MO
  • NPI 1609985290
  Authorized official Same address or phone
• Patricia Pladson Perschbacher, M.D.

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1346285913
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1346414372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16516 MANCHESTER RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401217",
            "telephone_number": "636-458-8400",
            "fax_number": "636-458-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16516 MANCHESTER RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401217",
            "telephone_number": "636-458-8400",
            "fax_number": "636-458-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE T. RIORDAN, M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "RIORDAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-458-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "105913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildwood Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 212 Degrees of Wellness, LLC
• Stacey Lynn Abby, PHARMD
• Aegis Group Practice LLC
• Altea Medical Missouri LLC
• Meskerm Workiye Asfaw
• Ibrahim Atiq
• Annette Marie Bach
• Skylar Nichol Bair, PA-C
• Patrick J Bass, D.C.

• Dermatology Physician in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.