MR. PHILLIP RIDDLE (NPI# 1861437360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861437360 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP RIDDLE |
| Credential | MD |
| Practice Address |
300 Hospital Dr Vallejo CA 94589 |
| Mailing Address |
Po Box 7096 Stockton CA 95267 |
| Practice Telephone | 7075544444 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | G86016 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P00353126 | 01 |
| CA | 00G860161 | 05 | |
| CA | 00G860160 | 05 | |
| CA | BS OF CA | 00G860160 | 01 |
| Street Address |
300 HOSPITAL DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305077 | Genesis Ob Associates, PC | Obstetrics & Gynecology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2017-06-08 |
| 1184156010 | Antony Mathew | Emergency Medicine | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2017-03-30 |
| 1710429857 | Reliant Medical Associates, PC | Obstetrics & Gynecology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2016-11-07 |
| 1699135277 | Sutter Health Sacramento Sierra Region | Clinical Medical Laboratory | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2016-02-25 |
| 1033586151 | Hieu Minh Phan | Pharmacist | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2015-08-24 |
| 1689053720 | Nicholas Taylor | Internal Medicine | 300 Hospital Dr, Vallejo, CA 94589 | 2015-05-21 |
| 1992199160 | Diagnostic Pathology Medical Group Inc | Pathology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2015-03-25 |
| 1669885539 | Kelley Lynn Rodolff | Physician Assistant | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2014-06-08 |
| 1629404744 | Stephen Asiain Tatom | Registered Nurse | 300 Hospital Dr, Sutter Solano Medical Center, Vallejo, CA 94589-2574 | 2013-09-20 |
| 1134564586 | Northern California Pet Imaging Center | Nuclear Medicine | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2013-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689811440 | Richard Earnest Tirrell | Anesthesiology | 6367 Newhaven Ln, Vallejo, CA 94591-3862 | 2009-01-15 |
| 1851686828 | Diana H Lee | Anesthesiology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2011-06-17 |
| 1376740605 | Amy Hyung Kim | Anesthesiology | 975 Sereno Dr, Tpmg Anesthesiology, Vallejo, CA 94589-2441 | 2007-06-29 |
| 1407920721 | James T. Hsu | Anesthesiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-20 |
| 1689748287 | Benjamin Z. Paul | Anesthesiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-17 |
| 1457423253 | Robin L. Miller | Anesthesiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| 1447338348 | Ryk G. Tanalski | Anesthesiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1265510168 | Michael C. Pearl | Anesthesiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1801974613 | Alan C. Gulick | Anesthesiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1821176710 | George E. Wakerlin Jr. | Anesthesiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
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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.