Jonathan D Riddle (NPI# 1720085996, PAC ID# 8224083092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1720085996 |
| PAC ID by PECOS | 8224083092 |
| Professional Enrollment ID | I20060315000358 |
| Full Name | Jonathan D Riddle |
| Address |
412 S Henderson St Fort Worth Vascular Surgical Fort Worth TX 76104-1017 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2002 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450137 | BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 11801 S Fwy, Burleson, TX 76028-7021 | 8172939110 | NORTHSTAR ANESTHESIA II PA |
| 1400 8th Ave, Fort Worth, TX 76104-4110 | 8179262544 | NORTHSTAR ANESTHESIA II PA |
| 1400 8th Ave, Fort Worth, TX 76104-4110 | 2179227588 | NORTHSTAR ANESTHESIA PA |
| 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 |
| Street Address |
412 S HENDERSON ST FORT WORTH VASCULAR SURGICAL |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-1017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| William C Bridges | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Glenn G Bixler | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Valerie Sive-ramirez | Clinical Psychologist | Vericare PC | 425 Alabama Ave, Fort Worth, TX 76104-1022 |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FORT WORTH + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jonathan D Riddle.
| 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.