SETH A RIDDLE, M.D., P.C. (NPI# 1326126772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326126772 |
| Entity Type | Organization |
| Organization Name | SETH A RIDDLE, M.D., P.C. |
| Other Organization Name | PEAK OTOLARYNGOLOGY |
| Practice Address |
1055 N 300 W Ste 401 Provo UT 84604-3306 |
| Practice Telephone | 8013577499 |
| Practice Fax Number | 8013735980 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENISE RICHARDS (OFFICE MANAGER) |
| Authorized Official Telephone | 8013577499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| X | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
Allopathic & Osteopathic Physicians | ||
| X | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
Allopathic & Osteopathic Physicians | ||
| X | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Peak Otolaryngology | Doing Business As Name - Organization |
| Street Address |
1055 N 300 W STE 401 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467535138 | Amanda G Lewis | Nurse Practitioner | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2006-10-24 |
| 1891253456 | Laura Savage | Nurse Practitioner | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2019-03-03 |
| 1619383494 | Sarah Anne Cordingley | Audiologist | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2014-07-01 |
| 1760800353 | Ryan Mark Stephenson | Otolaryngology | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2014-04-01 |
| 1346518867 | Mary Elizabeth Marble | Nurse Practitioner | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2011-12-12 |
| 1588976328 | Jordan Carlton Schramm | Otolaryngology | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2010-07-09 |
| 1851506786 | Seth A Riddle, M.d. P.C. | Surgery | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831390038 | Ihc Health Services Inc | Otolaryngology | 395 W Bulldog Blvd Ste 501, Provo, UT 84604 | 2007-05-29 |
| 1972517043 | I. William Nelson | Otolaryngology | 556 E 4020 N, Provo, UT 84604-5149 | 2006-07-27 |
| 1396741476 | Kipp Moreno Robins | Otolaryngology | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2005-06-23 |
| 1760800353 | Ryan Mark Stephenson | Otolaryngology | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2014-04-01 |
| 1588976328 | Jordan Carlton Schramm | Otolaryngology | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2010-07-09 |
| 1326115403 | Matthew K. Money | Otolaryngology | 1157 N 300 W, Suite 301, Provo, UT 84604-6124 | 2006-11-30 |
| 1396765871 | Kirt Scott Beus | Otolaryngology | 1055 N 300 W, Suite 401, Provo, UT 84604-3306 | 2006-07-20 |
| 1598701955 | Seth Allred Riddle | Otolaryngology | 1055 N 300 W, Suite 401, Provo, UT 84604-3344 | 2006-06-22 |
| 1942246756 | Seth A Riddle Md PC | Otolaryngology | 1055 N 300 W, 401, Provo, UT 84604-3344 | 2006-06-21 |
| 1477510329 | Scott Shipley | Otolaryngology | 1055 N 300 W, Suite 401, Provo, UT 84604-3344 | 2006-04-26 |
| Find all providers in PROVO | ||||
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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.