George Walton Riddick Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101018033 Issued in VA

Practice address

Salem Veterans Affairs Medical Center
1970 Roanoke Boulevard
Salem, VA 24153

Phone

(540) 982-2463

Fax

(540) 224-1922

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396790879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 BRINNINGTON RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017313",
            "telephone_number": "434-975-4744",
            "fax_number": "540-224-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SALEM VETERANS AFFAIRS MEDICAL CENTER",
            "address_2": "1970 ROANOKE BOULEVARD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "24153",
            "telephone_number": "540-982-2463",
            "fax_number": "540-224-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDICK",
        "first_name": "GEORGE",
        "middle_name": "WALTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101018033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Dennis Richards, M.D.
• Timothy Neil Richey, PH.D., LPC, NCC
• Richfield Living
• Richfield Pharmacy
• Richfield Wellness and Rehab, Inc.
• Laurel Colletti Riddle, MS, CCC/SLP
• Gregory David Riebel, M.D.
• Jason A Rigoni, D.O.
• Anne Marie Rinaldo
• Jorge Rodolfo Rivera-Irias, MD

• Ophthalmology Physician in Salem, VA
• Providers in Salem, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.