DR. MADYSON SHEA RIDDELL


Address: 4201 St. Antoine, Suite 6c Uhc, Detroit, MI 48201
Phone: 3135775009

DR. MADYSON SHEA RIDDELL (NPI# 1528688249) 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) 1528688249
Entity Type Individual
Full Name DR. MADYSON SHEA RIDDELL
Credential DO
Practice Address 4201 St. Antoine
Suite 6c Uhc
Detroit
MI 48201
Mailing Address 7103 Red Barn Rd
Crystal Lake
IL 60012-1056
Practice Telephone 3135775009
Mailing Telephone 8153532513
Enumeration Date 2020-04-22
Last Update Date 2020-04-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4201 ST. ANTOINE
SUITE 6C UHC
City DETROIT
State MI
Zip Code 48201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659320737 Bibban B. Deol Internal Medicine 4201 St. Antoine, Suite 5b, Detroit, MI 48201-2153 2006-05-08
1396368304 Jiping Zhou Student in an Organized Health Care Education/Training Program 4201 St. Antoine, University Health Center - 8c, Detroit, MI 48201 2020-05-26
1669095857 Tammy Hsia Emergency Medicine 4201 St. Antoine, Rm 6g-uhc, Detroit, MI 48201-4820 2020-05-21
1902428485 Roberto Martin Veloso Student in an Organized Health Care Education/Training Program 4201 St. Antoine, Uhc 9c, Detroit, MI 48201 2020-05-07
1225659089 Oluwatofehinti Oluwalademi Akande Student in an Organized Health Care Education/Training Program 4201 St. Antoine, Room 2e-uhc, Detroit, MI 48201 2020-05-04
1952922882 Angela Kalia Student in an Organized Health Care Education/Training Program 4201 St. Antoine, 9c-umc Graduate Medical Education, Detroit, MI 48201 2020-05-01
1841811072 Junaid Hashim Student in an Organized Health Care Education/Training Program 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 2020-04-28
1922628668 Brianna Chu Student in an Organized Health Care Education/Training Program 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 2020-04-23
1275153835 Sarah E Ottum Student in an Organized Health Care Education/Training Program 4201 St. Antoine, Uhc 9c, Detroit, MI 48201 2020-04-23
1497375166 Tara Maher Elia Student in an Organized Health Care Education/Training Program 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 2020-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013514702 Leeza Fortner Student in an Organized Health Care Education/Training Program 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 2020-10-06
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912516790 Omar Choudhury Student in an Organized Health Care Education/Training Program Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 2020-07-28
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1932725959 Devonn Eli Israil Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 2020-06-25
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
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Competitor

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City DETROIT
Zip Code 48201

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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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