Cassandra Lee Riddle, DO

Surgery Physician · Tulsa, OK

Individual Active NPI

NPI number 1679074132

Practice location

10505 E 91st St Ste 203
Tulsa, OK 74133-5829
Phone
(918) 930-7312
Fax
(918) 307-3121

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NPI record

NPI
1679074132
Entity type
Individual (Type 1)
Enumeration date
February 21, 2018
Last updated
December 19, 2023
Certified
December 19, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 6637 OK
Emergency Medicine Physician 207P00000X 6637 OK

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone
(888) 247-0125
Fax
(918) 502-8210

About Dr. Riddle

Cassandra Lee Riddle, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 10505 E 91st St Ste 203, Tulsa, OK 74133-5829. The NPI number 1679074132 was assigned on February 21, 2018 and the record was last updated on December 19, 2023.

Dr. Riddle lists 2 licenses in the registry: #6637 (OK) for Surgery Physician; #6637 (OK) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cassandra Lee Riddle, DO?

The NPI number is 1679074132.

What is the phone number of Dr. Riddle?

The phone number listed for the practice location is (918) 930-7312.

Where is Dr. Riddle located?

10505 E 91st St Ste 203, Tulsa, OK 74133-5829.

What is the taxonomy code for Dr. Riddle?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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