| Dr Jonathan William Riddle, DO | |
|
8401 Market St, Boardman, OH 44512-6725 | |
| (330) 729-2929 | |
| Not Available |
| Full Name | Dr Jonathan William Riddle |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 4 Years |
| Location | 8401 Market St, Boardman, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407421217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 58.033151 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hillcrest Hospital Claremore | Claremore, OK | Hospital |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | Hospital |
| Hillcrest Hospital Henryetta | Henryetta, OK | Hospital |
| Hillcrest Hospital South | Tulsa, OK | Hospital |
| Hillcrest Hospital Cushing | Cushing, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467053173 PECOS PAC ID: 5698786226 Enrollment ID: O20210226001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan William Riddle, DO 8401 Market St, Boardman, OH 44512-6725 Ph: (330) 729-2929 | Dr Jonathan William Riddle, DO 8401 Market St, Boardman, OH 44512-6725 Ph: (330) 729-2929 |
Christina Brooke Walker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St, Boardman, OH 44512 Phone: 330-729-8757 Fax: 330-729-7616 | |
Aziz R Nuritdinov, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-7960 | |
Dr. Alexander William Maione, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 | |
Allyson Dryer, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 | |
Craig Mcdonough, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-8757 | |
Norhan Sharaf, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 954-260-2929 | |
William K Nowotny, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6505 Market St, Boardman, OH 44512 Phone: 330-726-2100 |