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1457396087

NPI Code Detail

MEDICARE: TIFFANY DAWN RIORDAN M.D.

MEDICARE: TIFFANY DAWN RIORDAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	M8955	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00341561	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20055495	OTHER	PA	AMERIHEALTH MERCY-YH
3	2592	OTHER	PA	GEISINGER-YH
4	1865780	OTHER	PA	HIGHMARK BLUE SHIELD-YH
5	50067239	OTHER	PA	CAPITAL BLUE CROSS-YH
6	203883	OTHER	PA	JOHNS HOPKINS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	1548643	OTHER	PA	GATEWAY-YH
9	200941	OTHER	PA	UNISON YH
10	2724605000	OTHER	PA	AMERIHEALTH 65 PA-YH

General Provider Information

NPI Number	:	1457396087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY DAWN RIORDAN M.D.

Provider Business Mailing Address
First Line	:	RCO PROVIDER ENROLLMENT
Second Line	:	2401 S 31ST ST MS-AR-M200
City	:	TEMPLE
State	:	TX
Zip	:	76508-0001
Country	:	US
Telephone Number	:	254-724-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 MEDICAL PKWY
Second Line	:
City	:	BRENHAM
State	:	TX
Zip	:	77833-5413
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:	254-215-9722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	09/05/2025

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Directions to “ TIFFANY DAWN RIORDAN M.D.” Practice Location

Language	Start Address	Practice Location

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