DR. JAY RIDDLE (NPI# 1457341893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457341893 |
| Entity Type | Individual |
| Full Name | DR. JAY RIDDLE |
| Credential | M.D. |
| Practice Address |
9501 Farrell Rd Suite Gc-11 Fort Belvoir VA 22060-5901 |
| Mailing Address |
Po Box 1327 Fort Belvoir VA 22060-1027 |
| Practice Telephone | 7038050193 |
| Mailing Telephone | 7038050193 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2010-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 54289 | VA | Other Service Providers |
| Street Address |
9501 FARRELL RD SUITE GC-11 |
| City | FORT BELVOIR |
| State | VA |
| Zip Code | 22060-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134127145 | Bonnie L. Breneman | Nurse Practitioner | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2005-07-13 |
| 1821428806 | Samantha Rigby | Dietitian, Registered | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2013-11-12 |
| 1184998536 | Fort Belvoir Community Hospital | Special Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-03-02 |
| 1093089757 | Ft Belvoir Hospital Outpatient Pharmacy | General Acute Care Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-28 |
| 1073886917 | Syed H Akhtar | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-22 |
| 1104199231 | Tiffany Limerick | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-21 |
| 1700159936 | Mary N Tabot | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-19 |
| 1033482534 | Sanh Dan Trieu | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-14 |
| 1710250212 | Thao Phuong Dinh | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-14 |
| 1598045460 | Fort Belvoir Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, Va, Fort Belvoir, VA 22060-5901 | 2011-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780317 | Elizabeth Joy Bier | Family Medicine | Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060 | 2017-06-14 |
| 1518413723 | Meredith Rae Cuddy | Social Worker | 9300 Dewitt Loop, Rivers Pavillion, 2nd Floor, Room R2.403, Fort Belvoir, VA 22060 | 2016-08-28 |
| 1760804041 | Edward Burke | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2014-01-06 |
| 1972940450 | Deepa Ramanathan Elion | Clinical Neuropsychologist | 5908 9th Street, Building 1259, Intrepid Sprit One, Nicoe, Fort Belvoir, VA 22060 | 2013-05-24 |
| 1861837643 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8651 John J Kingman, Building 2321, Fort Belvoir, VA 22060 | 2013-05-07 |
| 1609150820 | Brittany Rodriguez | Physical Therapist | 9300 Belvoir Rd, Fort Belvoir, VA 22060 | 2011-10-06 |
| 1457657983 | Jacob Macgregor | Nurse Anesthetist, Certified Registered | 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2011-02-01 |
| 1518291442 | Stacie Erin Thomas | Speech-Language Pathologist | 5980 9th Street, Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-09-24 |
| 1033347125 | David Michael Hanrahan | Psychiatry & Neurology | 5980 9th Street Building #1259, Fort Belvoir Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-06-26 |
| 1649459777 | Central Care Inc | Military Hospital | 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 | 2007-10-25 |
| Find all providers in zip 22060 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840957 | Paul William Rava | Military Health Care Provider | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2018-11-15 |
| 1912483058 | Ryan J Matheson | Military Health Care Provider | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2018-07-12 |
| 1265892426 | Blair Brent Rhodehouse | Military Health Care Provider | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2016-03-02 |
| 1861656167 | Jamey Cross | Military Health Care Provider | 9300 Dewitt Loop, Fort Belvoir, VA 22060 | 2008-07-15 |
| 1366601692 | James C League-pascual | Military Health Care Provider | 9300 Dewitt Loop, Department of Pediatrics R1.235, Fort Belvoir, VA 22060-5285 | 2008-06-02 |
| 1497958151 | Kerry Blaine Patterson | Military Health Care Provider | 9501 Farrell Rd, Bldg 808, Fort Belvoir, VA 22060-5901 | 2007-06-08 |
| 1295704336 | Michael Vincent Winters | Military Health Care Provider | 9300 Dewitt Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2006-03-14 |
| 1932172301 | Joseph Clarke Johnsonwall | Military Health Care Provider | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2006-02-08 |
| 1538143458 | Kenneth Wayne Mccown | Military Health Care Provider | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2005-12-05 |
| 1851381347 | Albert William Taylor II | Military Health Care Provider | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2005-10-25 |
| Find all providers in FORT BELVOIR | ||||
| City | FORT BELVOIR |
| Zip Code | 22060 |
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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.