| 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 | 
| Location | 8401 Market St, Boardman, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407421217 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 58.033151 (Ohio) | Primary | 
| 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: Medicare Enrolled 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 |