Provider Demographics
NPI:1457396087
Name:RIORDAN, TIFFANY DAWN (MD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:DAWN
Last Name:RIORDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:STE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:YORK HOSPITAL EMERGENCY DEPARTMENT
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2450
Practice Address - Fax:717-851-3469
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427570207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20055495OtherAMERIHEALTH MERCY-YH
PAP00341561OtherRAILROAD MEDICARE
PA2592OtherGEISINGER-YH
PA1865780OtherHIGHMARK BLUE SHIELD-YH
PA50067239OtherCAPITAL BLUE CROSS-YH
PA203883OtherJOHNS HOPKINS
PA101648686Medicaid
PA1548643OtherGATEWAY-YH
PA200941OtherUNISON YH
PA2724605000OtherAMERIHEALTH 65 PA-YH
PA101648686Medicaid
PA203883OtherJOHNS HOPKINS
PA20055495OtherAMERIHEALTH MERCY-YH