Jeffrey G Rieder DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC003897L Issued in PA

Legal business name

JEFFREY G RIEDER DPM

Practice address

1234 Main St
Peckville, PA 18452-2043

Phone

(570) 489-5550

Fax

(570) 489-5958

NPI assigned

Jan 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cheryl A Tantalla

Title

Office Manager

Phone

(570) 489-5550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jeffrey George Rieder, DPM

  • Foot Surgery Podiatrist
  • Peckville, PA
  • NPI 1053337931

  O20100930058569

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey George Rieder, DPM

  • Foot Surgery Podiatrist
  • Peckville, PA
  • NPI 1053337931
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1013192954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522043",
            "telephone_number": "570-489-5550",
            "fax_number": "570-489-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522043",
            "telephone_number": "570-489-5550",
            "fax_number": "570-489-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY G RIEDER DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "TANTALLA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-489-5550"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003897L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Hoeper
• Hope and Healing
• Tom Horeis, PHARM D
• Angelica Hughes, LPC
• Victoria Lynn Hunsinger, MS, LAPC, NCC
• Jennifer Wascura LCSW, LLC
• John F Bushta DPM PC
• Joseph R. Loiacono Jr. DDS,PC
• Keystone Independent Living
• Deanna Elizabeth Kilmer, KILMER, DEANNA PTA

• Podiatrist in Peckville, PA
• Providers in Peckville, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.