TANYA NICOLE RIDDLE (NPI# 1497010250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497010250 |
| Entity Type | Individual |
| Full Name | TANYA NICOLE RIDDLE |
| Other Name | TANYA NICOLE TRYNOSKY |
| Credential | M.D. |
| Practice Address |
3701 S Clarkson St Ste 400 Englewood CO 80113-3960 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 3037617797 |
| Practice Fax Number | 3037892995 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | DR.0059031 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2356 Meadows Blvd Ste 340, Castle Rock, CO 801098410 | 3037617797 | 3037892995 |
| 1001 E Johnson St, Holyoke, CO 807341854 | 3037617797 | 3037892995 |
| 255 S Routt St Ste 350, Lakewood, CO 802282271 | 3037617797 | 3037892995 |
| 1017 W 7th St, Wray, CO 807581420 | 3037617797 | 3037892995 |
| Street Address |
3701 S CLARKSON ST STE 400 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-3960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858095 | Amber S Long | Physician Assistant | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2006-05-17 |
| 1962968966 | Forefront Dermatology, S.c. | Dermatology | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2019-02-14 |
| 1316299126 | Kathryn A Harrison | Physician Assistant | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2012-10-04 |
| 1356547392 | Jennifer G Burke | Nurse Practitioner | 3701 S Clarkson St Ste 400, Englewood, CO 80113 | 2007-06-26 |
| 1194818948 | James V Twede | Dermatology | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2006-10-02 |
| 1538112305 | Richard G Asarch | Dermatology | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2006-05-19 |
| 1578516365 | Laura M Thomason | Dermatology | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326521576 | Kaitlyn Laurel Pell | Dermatology | 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 | 2018-09-13 |
| 1417357922 | Premier Dermatology, LLC | Dermatology | 900 Pine Street 122 / 123, Englewood, FL 34233-0000 | 2014-09-03 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| 1093819369 | Kimberly C Stone | Dermatology | 3701 S Clarkson St, Ste 300, Englewood, CO 80113-3960 | 2006-09-08 |
| 1063493898 | Chang Bae Son | Dermatology | 200 Grand Ave 201, Englewood, NJ 07631-4363 | 2005-11-09 |
| 1134691058 | Dawson Dermatology Group Pllc | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113-2780 | 2018-12-18 |
| 1811472111 | Englewood Dermatology Center | Dermatology | 300 Grand Ave Ste 201, Englewood, NJ 07631-6300 | 2018-10-02 |
| 1104274919 | Forefront Dermatology, S.c. | Dermatology | 5 W Wenger Rd, Englewood, OH 45322 | 2016-06-02 |
| 1922341783 | Jisun Cha Md | Dermatology | 460 Sylvan Ave, Englewood, NJ 07632-2919 | 2013-03-30 |
| 1558620385 | Michelle Pennie Md LLC | Dermatology | 900 Pine St, Ste 122-123, Englewood, FL 34223-4418 | 2012-05-14 |
| Find all providers in ENGLEWOOD | ||||
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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.