DR. ELIZABETH MARIE RIDDELL (NPI# 1245506401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245506401 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH MARIE RIDDELL |
| Credential | MD PHARMD |
| Practice Address |
3900 St Francis Way Ste 205 Lafayette IN 47905-4939 |
| Mailing Address |
250 W 96th St # 520 Indianapolis IN 46260-1316 |
| Practice Telephone | 7654282500 |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01075060A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01075060A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
01075060A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710142211 | Elizabeth Averill Riddell | Speech-Language Pathologist | 1633 E Lynn St, Seattle, WA 98112-2129 | 2008-07-23 |
| Street Address |
3900 ST FRANCIS WAY STE 205 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987514 | George Kline Brodell | Internal Medicine | 3900 St Francis Way Ste 205, Lafayette, IN 47905-4939 | 2005-10-24 |
| 1114245958 | Elly Jo Fennell | Registered Nurse | 3900 St Francis Way Ste 205, Lafayette, IN 47905-4939 | 2010-05-04 |
| 1174724371 | Ryan C Oeltgen | Internal Medicine | 3900 St Francis Way Ste 205, Lafayette, IN 47905-4939 | 2007-05-29 |
| 1245382852 | Fabian Jorge Arnaldo | Internal Medicine | 3900 St Francis Way Ste 205, Lafayette, IN 47905-4939 | 2007-01-17 |
| 1851353262 | Robert V Riddell | Internal Medicine | 3900 St Francis Way Ste 205, Lafayette, IN 47905-4939 | 2006-04-03 |
| 1841251592 | Jay D Schlaifer | Internal Medicine | 3900 St Francis Way Ste 205, Lafayette, IN 47905-4939 | 2006-03-31 |
| 1154397701 | Sam Hansen | Internal Medicine | 3900 St Francis Way Ste 205, Lafayette, IN 47905-4939 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922285139 | Asim A. Mohammed | Internal Medicine | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2008-01-30 |
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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.