Riddle Health Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35059114 Issued in OH

Legal business name

RIDDLE HEALTH CENTER LLC

Practice address

2717 Miamisburg Centerville Rd
Suite 211
Dayton, OH 45459-3797

Phone

(937) 434-6832

Fax

(937) 434-8371

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Lee Riddle, MDNPI 1932202710

Title

Physician

Phone

(937) 434-6832

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Lee Riddle, MD

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1932202710
  NPD (past) Authorized official

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1891975587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 211",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593797",
            "telephone_number": "937-434-6832",
            "fax_number": "937-434-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 211",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593797",
            "telephone_number": "937-434-6832",
            "fax_number": "937-434-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDDLE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-434-6832",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35059114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "0834342",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael A Richter, MSW, LISW-S
• Michelle Erin Ricica
• Barbara R Rickey, PCC
• Eliza Pearl Ricks, CPNP
• Thomas Riddell
• Katherine A Riddle
• Kevin Lee Riddle, MD
• Ridehelpers, LLC
• Robert Rider
• Dorniko Donte Ridgell, QMHS-HS

• Family Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.