MARK A RIDDLE (NPI# 1316989304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316989304 |
| Entity Type | Individual |
| Full Name | MARK A RIDDLE |
| Credential | M.D. |
| Practice Address |
5500 Knoll North Dr Ste 370 Columbia MD 21045-2393 |
| Mailing Address |
1111 N Charles St Baltimore MD 21201-5505 |
| Practice Telephone | 4108372050 |
| Practice Fax Number | 8666290091 |
| Mailing Telephone | 4108372050 |
| Mailing Fax Number | 8666290091 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0045696 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 162501200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851350441 | Mark Simonds Riddle | Preventive Medicine | Namru-3, Psc 452, Box 105, Fpo, AE 09835-0007 | 2006-03-21 |
| 1770748972 | Mark Landers Riddle | Emergency Medicine | 36000 Darnall Loop, Deptartment of Emergency Medicine, Fort Hood, TX 76544-5095 | 2008-07-28 |
| Street Address |
5500 KNOLL NORTH DR STE 370 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632377 | Heidi Helene Marine | Social Worker | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2019-01-04 |
| 1124508155 | Shannon Santoni | Social Worker | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2018-08-20 |
| 1225535206 | Benjamin Dahunsi | Nurse Practitioner | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2018-04-06 |
| 1215329834 | Alyssa Toran | Social Worker | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2015-02-19 |
| 1104233972 | Alyssa Miller | Social Worker | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2014-07-14 |
| 1629484845 | Joy Hart | Social Worker | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2014-07-08 |
| 1255750089 | Mohamed Mansaray | Psychologist | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2014-04-09 |
| 1598036618 | Chase Brexton | Pharmacy | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2012-01-20 |
| 1073801932 | Nicola Henry | Dentist | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2011-07-13 |
| 1164743563 | Monique A Husbands-onyeukwu | Family Medicine | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2010-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832157 | Envision Wellness Medical Group LLC | Psychiatry & Neurology | 4100 N Main St Ste 101, Columbia, SC 29203-5800 | 2020-05-12 |
| 1548664964 | Melody Ann Boling | Psychiatry & Neurology | 1 Hospital Dr # Dc067.00, Department of Psychiatry, Columbia, MO 65212-1000 | 2014-10-14 |
| 1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
| 1568736247 | David Downie Iv, M.d.,p.a. | Psychiatry & Neurology | 1327 Richland Street, Columbia, SC 29201 | 2012-02-28 |
| 1447522800 | Life Strategies LLC | Psychiatry & Neurology | 2855 Pruitt Dr, Columbia, SC 29204-3645 | 2012-02-01 |
| 1699938217 | Anita Bajaj | Psychiatry & Neurology | 10015 Old Columbia Rd # L26d, Columbia, MD 21046-1703 | 2008-07-03 |
| 1306024930 | Kimberly C Walker | Psychiatry & Neurology | 10630 Little Patuxent Pkwy Ste 313, Columbia, MD 21044-6216 | 2008-02-06 |
| 1043308356 | Herbert Randolph Spencer | Psychiatry & Neurology | 1800 Colonial Drive, Columbia, SC 29201 | 2006-10-11 |
| 1891883005 | Elizabeth Hubbard Jeffords | Psychiatry & Neurology | 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 | 2006-10-11 |
| 1134231723 | Judith Victoria Ovalle Abuabara | Psychiatry & Neurology | 106 Corporate Lake Dr, Columbia, MO 65203-7170 | 2006-08-31 |
| Find all providers in COLUMBIA | ||||
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| 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.