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:RCO PROVIDER ENROLLMENT
Mailing Address - Street 2:2401 S 31ST ST MS-AR-M200
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76508-0001
Mailing Address - Country:US
Mailing Address - Phone:254-724-2111
Mailing Address - Fax:
Practice Address - Street 1:700 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5413
Practice Address - Country:US
Practice Address - Phone:800-994-0371
Practice Address - Fax:254-215-9722
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8955207P00000X
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