Dru Riddle Anesthesia, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DRU RIDDLE ANESTHESIA, PLLC

Practice address

2800 W Bowie St
Fort Worth, TX 76109-1706

Phone

(817) 734-7980

NPI assigned

Oct 13, 2017

Last updated

Oct 13, 2017By 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. Jonathan Dru Riddle, PHD, DNP, CRNANPI 1720085996

Title

Managing Partner

Phone

(817) 734-7980

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jonathan Dru Riddle, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
  • NPI 1720085996
  Authorized official Same address or phone
• Kathleen M. Baldwin, ANP, GNP, CNS

  • Adult Health Clinical Nurse Specialist
  • Fort Worth, TX
  • NPI 1497758601
  NPD (past)
• Samantha Powell Davis, MS, RD, LD

  • Registered Dietitian
  • Fort Worth, TX
  • NPI 1235568924
  NPD (past)

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1346751682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SILVER CANYON DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761089612",
            "telephone_number": "817-734-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W BOWIE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091706",
            "telephone_number": "817-734-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRU RIDDLE ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DRU",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "817-734-7980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DNP, CRNA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Driver
• Gary Driver, DPM
• DRS. Birth & Fletcher -Orthodontics, P.L.L.C.
• DRS. Birth & Stewart-Orthodontics-Ft Worth, LLC (Dr. Sheila Birth)
• DRS. Khatib & Khatib, DDS, PC
• Lesley M Drummond-Borg, MD
• Kimberly Jane Dryer, RDN, LD
• Tara Deanne Drysdale, RN
• DS Fortworth, PLLC (Perfect Dental)
• Miranda Dsouza

• Ambulatory Surgical Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.