WIRIYAPORN RIDTITID


Address: 550 University Blvd # Uh1634, Indianapolis, IN 46202-5149
Phone: 3179445000

WIRIYAPORN RIDTITID (NPI# 1801149687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801149687
Entity Type Individual
Full Name WIRIYAPORN RIDTITID
Practice Address 550 University Blvd # Uh1634
Indianapolis
IN 46202-5149
Mailing Address 319 N West St Apt 416
Indianapolis
IN 46202-3262
Practice Telephone 3179445000
Mailing Telephone 3177486183
Enumeration Date 2012-10-18
Last Update Date 2012-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 11016940A IN Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICAL RESIDENCY PERMIT 11016940A 01

Office Location

Street Address 550 UNIVERSITY BLVD # UH1634
City INDIANAPOLIS
State IN
Zip Code 46202-5149

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
Find all providers in zip 46202

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780223750 Erin Cannon Specialist 1543 N Post Rd, Indianapolis, IN 46219 2019-12-23
1144708413 Inject Health, LLC Specialist 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 2018-07-30
1053819458 Denise Michelle Strom Specialist 8620 Purdue Rd, Indianapolis, IN 46268-1114 2018-01-31
1487028429 Binh Nguyen Specialist 11022 Tenacious Dr, Indianapolis, IN 46236-9566 2015-11-13
1578930111 Christina Price Specialist 1035 Helen Dr, Indianapolis, IN 46240-3008 2015-08-31
1023494994 Joachim Wernicke Specialist 447 W 91st St, Indianapolis, IN 46260 2015-08-03
1275917031 Elise Brown Specialist 5117 Chatham Pl, Indianapolis, IN 46226-2272 2015-07-11
1134525777 Ellen M Einterz Specialist 6160 N Ewing St, Indianapolis, IN 46220-5147 2014-11-10
1053687210 Daniel Connor Drew Specialist 7168 Graham Rd, Suite 150, Indianapolis, IN 46250-2686 2012-03-31
1023383700 Jerry Michael Bergstein Specialist 8905 Sourwood Ct, Indianapolis, IN 46260-1544 2012-03-14
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46202

Improve Information

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Dataset Information

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.

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