ELISE FORTIN RIDDLE M.D. NPI 1861480683

NPI Information

  • NPI: 1861480683
  • Provider Name: ELISE FORTIN RIDDLE, M.D.
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1222 S ORANGE AVE
    ORLANDO, FL
    ZIP 32806
  • Phone: (407) 649-6907

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NPI Details

Elise Fortin Riddle, M.D. is a pediatric cardiology pediatrics in Orlando, FL with 31 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Elise Fortin Riddle, M.D. NPI is 1861480683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

1222 S ORANGE AVE
ORLANDO, FL
ZIP 32806-215
Phone: (407) 649-6907
Fax: (407) 481-2035

The NPI 1861480683 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 11/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME93814FLORIDANo
22080P0202XPediatricsPediatric CardiologyME93814FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CW764WMEDICARE PINFLORIDA
2000064200MEDICAIDFLORIDA
3ME93814OTHERFLORIDAMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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