KATHERINE RIDDLE (NPI# 1669866588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669866588 |
| Entity Type | Individual |
| Full Name | KATHERINE RIDDLE |
| Practice Address |
2600 Tamarack Ave Ste 200 South Windsor CT 06074-5560 |
| Practice Telephone | 8606461157 |
| Mailing Telephone | 2036410800 |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 63724 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5301 Mcauley Dr, Ypsilanti, MI 481971051 | 7347123456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916983 | Katherine Riddle | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2017-07-31 |
| 1881707123 | Katherine Riddle | Physician Assistant | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2006-08-17 |
| Street Address |
2600 TAMARACK AVE STE 200 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-5560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1144711714 | Alexis Kyra Warren | Midwife | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2018-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| 1750697124 | Muhammad Riaz Khan | Internal Medicine | 240 Brookfiel St., South Windsor, CT 06074 | 2010-08-24 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1770843914 | Jacqueline Elizabeth Calvo | Obstetrics & Gynecology | 2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 | 2012-05-22 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1376756908 | Obgyn Group of Eastern Connecticut, P.C. | Obstetrics & Gynecology | 2600 Tamarack Avenue, Suite 200, South Windsor, CT 06074-5560 | 2007-05-08 |
| 1861429797 | Connecticut Women Obstetrics and Gynecology, LLC | Obstetrics & Gynecology | Westview Office Park - Suite A4, 1050 Sullivan Avenue, South Windsor, CT 06074 | 2006-06-27 |
| 1215233044 | Kathryn Pascucci | Obstetrics & Gynecology | 1340 Sullivan Ave, South Windsor, CT 06074-2754 | 2011-01-26 |
| 1720287261 | Cynthia Cabral Elis | Obstetrics & Gynecology | 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 | 2007-07-15 |
| 1760587257 | Ruth Ann Schleifer | Obstetrics & Gynecology | 1340 Sullivan Ave, South Windsor, CT 06074 | 2006-09-13 |
| 1023050390 | Kara Greenleat Keeton | Obstetrics & Gynecology | 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 | 2006-06-12 |
| 1609845866 | Shaun Denise Biggers | Obstetrics & Gynecology | 1050 Sullivan Ave, Suite A-4 Westview Office Park, South Windsor, CT 06074 | 2006-03-17 |
| Find all providers in SOUTH WINDSOR | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on KATHERINE RIDDLE.
| 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.