JAMES MCILHENNY RIDDLEBERGER


Address: 331 Veranda St, Portland, ME 04103
Phone: 2078282402

JAMES MCILHENNY RIDDLEBERGER (NPI# 1114308277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114308277
Entity Type Individual
Full Name JAMES MCILHENNY RIDDLEBERGER
Credential M.D.
Practice Address 331 Veranda St
Portland
ME 04103
Mailing Address Po Box 9746
Portland
ME 04104-5040
Practice Telephone 2078282402
Practice Fax Number 2078282425
Mailing Telephone 2077913888
Mailing Fax Number 2078287850
Enumeration Date 2015-06-15
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD22299 ME Allopathic & Osteopathic Physicians

Office Location

Street Address 331 VERANDA ST
City PORTLAND
State ME
Zip Code 04103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023014198 Linda K Morrison Ophthalmology 331 Veranda St, Portland, ME 04103-5545 2005-06-23
1326561564 Katherine Smith Nurse Practitioner 331 Veranda St, Portland, ME 04103-5545 2017-07-19
1609304658 Jessica B Mcconville Nurse Practitioner 331 Veranda St, Portland, ME 04103-5545 2017-06-02
1598298697 Kristen Lang Family Medicine 331 Veranda St, Portland, ME 04103-5545 2017-04-05
1104369164 Kimberly Wallingford Macvane Physical Therapist 331 Veranda St, Building 6, Rm 3311, Portland, ME 04103-5545 2016-11-23
1972974434 Ashley Vadas Social Worker 331 Veranda St, Bldg. 6, Portland, ME 04103-5545 2015-10-09
1902274541 Alliance Physical Therapy, LLC Physical Therapist 331 Veranda St, Building 6, Rm 3311, Portland, ME 04103-5545 2015-09-14
1780052795 Austin Cary Stonebraker Physical Therapist 331 Veranda St, Building 6, Room 3311, Portland, ME 04103-5545 2015-09-08
1043688039 Pinnacle Rehabilitation Network LLC Physical Therapist 331 Veranda St, Building 6, Room 3311, Portland, ME 04103-5545 2015-09-08
1083011738 Martin's Point Health Care Family Medicine 331 Veranda St, Portland, ME 04103-5545 2014-11-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis Counselor 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639710783 Christine Elizabeth O'connor Family Medicine 6336 Se 61st Ave, Portland, OR 97206-6718 2019-09-30
1427608645 Carehere LLC Family Medicine Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 2019-09-19
1063064285 Victoria A Deane Family Medicine 37 Fall Brook St, Portland, ME 04103-4224 2019-07-09
1598238214 Whole Systems Healthcare Family Medicine 1020 Sw Taylor St Ste 340, Portland, OR 97205-2508 2019-01-04
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1871943159 Micah Kiehl Family Medicine 4427 Ne Fremont St, Portland, OR 97213-1153 2016-06-16
1083068589 Carrie Lynn Binder Family Medicine 1035 Nw Northrup St, Portland, OR 97209-3017 2016-04-20
1437513835 Kayce A Spear Family Medicine 10803 Se Cherry Blossom Drive, Portland, OR 97216-3107 2016-04-12
1992175509 Lone Star Evaluations Inc. Family Medicine 1500 Wildcat Dr Ste M, Portland, TX 78374-2826 2015-09-25
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Competitor

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City PORTLAND
Zip Code 04103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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