Elizabeth Marie Riddell
ST VINCENT MEDICAL GROUP INC


Address: 3900 St Francis Way, Suite 201, Lafayette, IN 47905-4923
Phone: 7654467981

Elizabeth Marie Riddell (NPI# 1245506401, PAC ID# 1355698606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1245506401
PAC ID by PECOS 1355698606
Professional Enrollment ID I20190618003538
Full Name Elizabeth Marie Riddell
Organization Legal Name ST VINCENT MEDICAL GROUP INC
Address 3900 St Francis Way
Suite 201
Lafayette
IN 47905-4923
Phone Number 7654467981
Gender F
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY
Secondary Specialties CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Group Practice PAC ID 7012047640
Number of Group Practice Members 699
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150109 FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST
151305 PULASKI MEMORIAL HOSPITAL
151312 INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
3900 St Francis Way, Suite 201, Lafayette, IN 47905-4923 7654467981 ST VINCENT MEDICAL GROUP INC

Organization Information

Organization Legal Name ST VINCENT MEDICAL GROUP INC
Physicians 702

Physicians with the same organization

Name Specialty Organization Address
Amanda J. Lyon Cardiovascular Disease (cardiology) St Vincent Medical Group Inc 10590 N Meridian St, Indianapolis, IN 46290-1028
Mohamad H Yousef Gastroenterology St Vincent Medical Group Inc 2010 W 86th St, Suite 111, Indianapolis, IN 46260-1930
Stephanie Ann Mason Nurse Practitioner St Vincent Medical Group Inc 8402 Harcourt Rd, Indianapolis, IN 46260-2056
Emily Kelly Koffel Nurse Practitioner St Vincent Medical Group Inc 2001 W 86th St, Indianapolis, IN 46260-1902
Bobbie Nakole Jellison Family Medicine St Vincent Medical Group Inc 8424 Naab Road Bulding, 1 1e, Indianapolis, IN 46260-1954
Jessica Dawn Augenstine Nurse Practitioner St Vincent Medical Group Inc 5629 Lee Rd, Indianapolis, IN 46216-2003
Hannah Rebekah Thornton Nurse Practitioner St Vincent Medical Group Inc 14828 Greyhound Ct, Suite 100, Carmel, IN 46032-5016
John Gary Quiles Gastroenterology St Vincent Medical Group Inc 1515 N Madison Ave, Anderson, IN 46011-3453
Yvette Monique Caviness-kelley Nurse Practitioner St Vincent Medical Group Inc 2155 E Main St, Plainfield, IN 46168-1816
Erin Michelle Watson Nurse Practitioner St Vincent Medical Group Inc 4778 S Scatterfield Rd, Anderson, IN 46013-2908

Office Location

Street Address 3900 ST FRANCIS WAY
SUITE 201
City LAFAYETTE
State IN
Zip 47905-4923

Physicians in the same location

Name Specialty Organization Address
Michael L Hogan Cardiovascular Disease (cardiology) Franciscan Physician Network 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923
Kathleen A Carlson Nurse Practitioner Franciscan Physician Network 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923
Bassel Artin Cardiovascular Disease (cardiology) Franciscan Physician Network 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923
Jill N Linder Nurse Practitioner Franciscan Physician Network 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923
Melissa Ann Donahue Nurse Practitioner Franciscan Physician Network 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923
Petronio Ilagan Neurology Franciscan Physician Network 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923
Masoor Kamalesh Cardiovascular Disease (cardiology) Franciscan Physician Network 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923
Margaret Ann Mitchel Nurse Practitioner St Vincent Medical Group Inc 3900 St Francis Way, Suite 201, Lafayette, IN 47905-4923
David Lin Infectious Disease Franciscan Physician Network 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923
Sherman A Williams Gastroenterology Franciscan Physician Network 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923
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Name Specialty Organization Address
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Vishal Viswam Psychiatry Sycamore Springs Physician Group LLC 833 Park E Blvd, Lafayette, IN 47905-0785
Sonia B Yballe Psychiatry Sycamore Springs Physician Group LLC 833 Park E Blvd, Lafayette, IN 47905-0785
Azubike Nwokedi Nurse Practitioner Sycamore Springs Physician Group LLC 833 Park E Blvd, Lafayette, IN 47905-0785
Kathleen Jane Halverson Nurse Practitioner Sycamore Springs Physician Group LLC 833 Park E Blvd, Lafayette, IN 47905-0785
Timothy Poquette Nurse Practitioner Sycamore Springs Physician Group LLC 833 Park E Blvd, Lafayette, IN 47905-0785
Morgan Amelia Mccormick Psychiatry Sycamore Springs Physician Group LLC 833 Park E Blvd, Lafayette, IN 47905-0785
Olaniyi O Osuntokun Psychiatry Sycamore Springs Physician Group LLC 833 Park E Blvd, Lafayette, IN 47905-0785
Katherine M Hafer Nurse Practitioner Sycamore Springs Physician Group LLC 833 Park E Blvd, Lafayette, IN 47905-0785
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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