RIDDLE MEMORIAL HOSPITAL (NPI# 1467720649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467720649 |
| Entity Type | Organization |
| Organization Name | RIDDLE MEMORIAL HOSPITAL |
| Other Organization Name | RIDDLE HOSPITAL - ASC |
| Practice Address |
1068 W Baltimore Pike Media PA 19063-5104 |
| Mailing Address |
950 E Haverford Rd Suite 110 Bryn Mawr PA 19010-3850 |
| Practice Telephone | 4842279400 |
| Mailing Telephone | 4843378480 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | MR. MICHAEL J. BUONGIORNO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4843378480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
440501 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007412290013 | 05 |
| Other Name | Type Code |
|---|---|
| Riddle Hospital - ASC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856099 | Riddle Memorial Hospital | General Acute Care Hospital | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2005-07-26 |
| 1578534244 | Riddle Memorial Hospital | Skilled Nursing Facility | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2006-01-30 |
| Street Address |
1068 W BALTIMORE PIKE |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856099 | Riddle Memorial Hospital | General Acute Care Hospital | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2005-07-26 |
| 1841899630 | Meghan Angelos Tokarski | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-10-22 |
| 1851914303 | Casey Leigh Ryan | Genetic Counselor, MS | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-05-19 |
| 1073155479 | Rebecca Lynn Mckenna | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-10-17 |
| 1194372730 | Margaryta Tolchynska | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-08-19 |
| 1750866471 | Christina Cotellese | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2018-09-27 |
| 1063905370 | Kaela Mclaughlin | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063 | 2018-06-11 |
| 1134659550 | Wesley Gordon | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063 | 2017-06-18 |
| 1235671892 | Viyaleta Vaitulevich | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2016-11-14 |
| 1225581234 | Syed Ali | Internal Medicine | 1068 W Baltimore Pike, Media, PA 19063 | 2016-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316174782 | Riddle Surgical Center LLC | Clinic/Center | 1118 W Baltimore Pike, Health Center 4, 4th Floor, Media, PA 19063-6104 | 2009-06-12 |
| 1578748232 | Delco Gastroenterology | Clinic/Center | 1088 West Baltimore Pike, Suite 2407, Media, PA 19063-5146 | 2007-12-31 |
| 1194718593 | Leonard Dzubow Ambulatory Surgical Center LLC | Clinic/Center | 101 Chesley Dr, Media, PA 19063-1761 | 2005-08-31 |
| 1265434740 | Sally K Balin Ambulatory Surgical Center Inc | Clinic/Center | 110 Chesley Dr, Media, PA 19063-1755 | 2005-08-15 |
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|---|---|---|---|---|
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| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
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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.