CARL MICHAEL RIDDELL (NPI# 1497966808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497966808 |
Entity Type | Individual |
Full Name | CARL MICHAEL RIDDELL |
Other Name | DR. MIKE RIDDELL |
Credential | M.D., F.A.C.O.G. |
Practice Address |
5800 W 10th St Ste.401 Little Rock AR 72204-1752 |
Practice Telephone | 5016612480 |
Practice Fax Number | 5016612464 |
Mailing Telephone | 5016612480 |
Mailing Fax Number | 5016612464 |
Enumeration Date | 2007-05-25 |
Last Update Date | 2014-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
C-5991 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 110831001 | 05 |
Street Address |
5800 W 10TH ST STE.401 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72204-1752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164483426 | Mary K Richards Md Pa | Specialist | 5800 W 10th St, Suite 600, Little Rock, AR 72204-1755 | 2006-03-28 |
1306473756 | Aislinn Broussard | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2020-03-25 |
1669964102 | Joshua Byers | Counselor | 5800 W 10th St, Little Rock, AR 72204-1752 | 2018-05-31 |
1336647338 | Cheree Marshall Freeman | Counselor | 5800 W 10th St, Little Rock, AR 72204-1752 | 2018-01-25 |
1245777499 | Samantha Lumpkin | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2017-01-26 |
1053862953 | Kayla Marie Brown | Case Manager/Care Coordinator | 5800 W 10th St, Suite 601, Little Rock, AR 72204-1752 | 2016-10-17 |
1235688466 | Marsha Vault | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2016-09-29 |
1356896054 | Karen Swinton | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2016-08-23 |
1124472816 | Molly Mahoney | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2016-04-19 |
1225493240 | Kaylia Woodard | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2015-12-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
Find all providers in zip 72204 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164491270 | James Douglas Studdard | Obstetrics & Gynecology | 9501 Baptist Health Dr, Ste. 800, Little Rock, AR 72205-6225 | 2006-03-14 |
1124411095 | Robert P Young | Obstetrics & Gynecology | 10720 N Rodney Parham Rd, Suite B5, Little Rock, AR 72212-4177 | 2015-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417554015 | Embrace Fmo | Obstetrics & Gynecology | 1502 Se 28th St Ste 2, Bentonville, AR 72712-0076 | 2020-10-06 |
1518327287 | St. Bernards Hospital, Inc | Obstetrics & Gynecology | 4334 E Highland Dr Ste B, Jonesboro, AR 72401-6621 | 2016-02-24 |
1215147418 | John S.white,m.d. | Obstetrics & Gynecology | 1521 N 10th St Ste E, Blytheville, AR 72315-1424 | 2007-05-23 |
1235505074 | Rebecca Cisneros | Obstetrics & Gynecology | 7301 Rogers Ave, Fort Smith, AR 72903 | 2015-08-17 |
1548662182 | Omar Aziz | Obstetrics & Gynecology | 1200 Mclain St, Newport, AR 72112 | 2014-09-25 |
1558626556 | Natalie Zoe Eiland | Obstetrics & Gynecology | 603-2 N Progress Ave Ste 100, Siloam Springs, AR 72761-4113 | 2012-07-06 |
1073893665 | Magnolia Regional Medical Center | Obstetrics & Gynecology | 101 Hospital Drive, Magnolia, AR 71753 | 2011-08-26 |
1518178938 | Julian Anthony Terry Sr. | Obstetrics & Gynecology | 3215 N Northhills Blvd, Ste 3, Fayetteville, AR 72703-4424 | 2007-05-25 |
1023233012 | Frank G Thibault Md, Pa | Obstetrics & Gynecology | 910 N East St, Benton, AR 72015-3327 | 2007-04-16 |
1689625659 | Crossroads Medical Clinic of Harrison | Obstetrics & Gynecology | 1420 Hwy 62 65 N, Harrison, AR 72601-1959 | 2006-05-15 |
Find all providers with the same taxonomy |
City | LITTLE ROCK |
Zip Code | 72204 |
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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.