Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan William Riddle, DO

Individual provider Emergency Medicine Physician · NPI 1407421217

Dr. Jonathan William Riddle, DO is an Emergency Medicine in Boardman, Ohio. Graduated from Oklahoma State University College of Osteopathic Medicine in 2021, 5 years ago. Practices with Green Country Emergency Physicians Group of Tulsa, PLLC, a 109-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OH
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8401 Market St
Boardman, OH 44512-6725
Phone: (330) 729-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 58.033151 (OH)

Record details

NPI number1407421217
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESJune 27, 2022
Certification dateJune 1, 2022
Mailing address8401 Market St, Boardman, OH 44512-6725

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Green Country Emergency Physicians Group Of Tulsa, Pllc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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