Provider Demographics
NPI:1740290345
Name:RIOPEL, DONALD AIME (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:AIME
Last Name:RIOPEL
Suffix:
Gender:M
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:PO BOX 601067
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1067
Mailing Address - Country:US
Mailing Address - Phone:704-373-1813
Mailing Address - Fax:704-342-5871
Practice Address - Street 1:1001 BLYTHE BLVD
Practice Address - Street 2:SUITE 200D
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5866
Practice Address - Country:US
Practice Address - Phone:704-373-1813
Practice Address - Fax:704-342-5871
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27732208000000X, 2080P0202X
SC6036208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC060365Medicaid
NC7971865Medicaid
NC71865OtherBCBS
NC1740290345Medicaid
NC71865OtherBCBS
SC060365Medicaid
NC209933GMedicare PIN
SCC861588186Medicare PIN