MEDICARE: DR. ASHLEY OSKARDMAY RIDDLE MD

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	207N00000X	Dermatology Physician	2026-01836	NC

General Provider Information

NPI Number	:	1982232567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY OSKARDMAY RIDDLE MD

Provider Business Mailing Address
First Line	:	PO BOX 23329
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-3329
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 SPRINGFIELD COMMONS DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-8532
Country	:	US
Telephone Number	:	919-876-3656
Fax Number	:

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

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	05/04/2026

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