DOUGLAS RYAN RIDDLE (NPI# 1659310928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659310928 |
| Entity Type | Individual |
| Full Name | DOUGLAS RYAN RIDDLE |
| Credential | MD |
| Practice Address |
4509 Integris Pkwy Ste 200 Edmond OK 73034-8696 |
| Mailing Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4056573950 |
| Practice Fax Number | 4054710040 |
| Mailing Telephone | (405) 657-3950 |
| Mailing Fax Number | 4054710040 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23957 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200079200A | 05 |
| Street Address |
4509 INTEGRIS PKWY STE 200 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-8696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265487946 | Justin Scott Sparkes | Internal Medicine | 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 | 2006-05-23 |
| 1104484963 | Shelby Lynn Plotkin | Physician Assistant | 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 | 2019-06-05 |
| 1003336132 | Kelsey Keoppel | Family Medicine | 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 | 2017-06-20 |
| 1639599855 | Thomas Craig Kupiec II | Internal Medicine | 4509 Integris Pkwy Ste 200, Edmond, OK 73034 | 2014-04-27 |
| 1124388293 | Heather Nicole Wheeler | Family Medicine | 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 | 2012-05-23 |
| 1659642163 | Elizabeth Montgomery | Physician Assistant | 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 | 2012-01-16 |
| 1770669863 | Christopher Dickson Hayes | Family Medicine | 4509 Integris Pkwy Ste 200, Edmond, OK 73034-8696 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1629619473 | Lorie Shannon Shuler | Family Medicine | 1701 Kings Rd, Edmond, OK 73013-4325 | 2019-10-02 |
| 1760030399 | Optimum Primary Care Pllc | Family Medicine | 105 S Bryant Ave Ste 108, Edmond, OK 73034-6330 | 2019-08-27 |
| 1730732116 | Nugenex Health LLC | Family Medicine | 929 Nw 164th St # 342, Edmond, OK 73013-1002 | 2019-07-24 |
| 1265900807 | Zeng Medical Inc | Family Medicine | 1964 Bella Sera Dr, Edmond, OK 73034-2516 | 2018-11-12 |
| 1659855666 | Primary Care Centers of America, LLC | Family Medicine | 800 W 18th St Ste 130, Edmond, OK 73013-3759 | 2018-09-17 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1215399803 | Morfit Medical Pllc | Family Medicine | 2908 Via Esperanza, Edmond, OK 73013-8934 | 2016-03-23 |
| 1134537848 | Medstaffpc | Family Medicine | 28 East Main St, Ste 100, Edmond, OK 73083 | 2014-07-25 |
| 1861806986 | Family Care 323, Pllc | Family Medicine | 1716 Olde North Pl, Edmond, OK 73034-4974 | 2014-06-17 |
| Find all providers in EDMOND | ||||
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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.