BRIAN RIEDEL (NPI# 1174615587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174615587 |
| Entity Type | Individual |
| Full Name | BRIAN RIEDEL |
| Credential | MD |
| Practice Address |
1 Medical Center Dr Poc Pediatric Clinic Morgantown WV 26506 |
| Mailing Address |
1 Medical Center Dr Po Box 9214 Morgantown WV 26506-9214 |
| Practice Telephone | 3042931017 |
| Practice Fax Number | 3042934337 |
| Mailing Telephone | 3042931017 |
| Mailing Fax Number | 3042934337 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
23973 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922546134 | Brian Riedel | Specialist/Technologist | 1630 Oconto Dr, Sun Prairie, WI 53590-3050 | 2017-02-08 |
| 1942528856 | Brian Lloyd Riedel | Counselor | 6901 Lyncrest Pl, #106, Sioux Falls, SD 57108 | 2010-05-17 |
| Street Address |
1 MEDICAL CENTER DR POC PEDIATRIC CLINIC |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072062 | Marissa D Davis | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-27 |
| 1649879313 | Emily Keator Stallings | Advanced Practice Midwife | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-22 |
| 1003414400 | Eric Allen | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-16 |
| 1134726334 | Anna Elizabeth Warfiled | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-01 |
| 1023625357 | Diane Lynn Casdorph | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-30 |
| 1578179081 | Samantha Renee Wise | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-20 |
| 1740893056 | Catherine Kelly | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-26 |
| 1821600743 | Emily Rossignol | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1265044010 | Melissa J Rinehart | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1700497054 | Chelsea J Thomas | Speech-Language Pathologist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619243714 | Amy J Guido | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506 | 2012-03-22 |
| 1063688265 | Audra Suzanne Rouster | Pediatrics | 1 Medical Center Dr, 9214, Morgantown, WV 26506-9214 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609216605 | Pediatric Gastroenterology of Charleston, Pllc | Pediatrics | 428 Division St, Suite 3a, South Charleston, WV 25309-1469 | 2013-07-05 |
| 1346341211 | John N Udall | Pediatrics | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 | 2006-09-25 |
| City | MORGANTOWN |
| Zip Code | 26506 |
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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.