Michael D Riddle, | |
234 Goodman St, Cincinnati, OH 45219-2364 | |
(513) 585-5502 | |
(513) 585-5511 |
Full Name | Michael D Riddle |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 234 Goodman St, Cincinnati, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669700415 | NPI | - | NPPES |
3090855 | Medicaid | OH | |
200993040 | Medicaid | IN | |
7100125100 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN.320325-COA1 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | COA.11549-NA (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Chester Hospital | West chester, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Cincinnati Physicians Company Llc | 2264344480 | 1336 |
Entity Name | University Of Cincinnati Physicians Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
Mailing Address | Practice Location Address |
---|---|
Michael D Riddle, Po Box 636256, Central Credentialing, Cincinnati, OH 45263-2364 Ph: (513) 585-5502 | Michael D Riddle, 234 Goodman St, Cincinnati, OH 45219-2364 Ph: (513) 585-5502 |
Melissa T Wesley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-872-7385 | |
Lisa Marie Roeder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave., Ml 2001, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229 Phone: 513-636-4408 Fax: 513-636-7337 | |
Katie Dean, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-585-5511 | |
Erik Albers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Mercy Health Blvd, Cincinnati, OH 45211 Phone: 513-215-5000 | |
Andrea Chicovic Mehal, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-672-3309 Fax: 513-672-3323 | |
Mrs. Jacqueline Marie Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3229 Burnet Ave, Cincinnati, OH 45229 Phone: 513-872-6310 | |
James Matthew Grau, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-558-0995 |