SMR Services LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

SMR SERVICES LLC

Doing business as

Susan M Moore-Riesbeck DO

Practice address

28070 County Road 24
Elkhart, IN 46517-9717

Phone

(574) 273-8053

Fax

(574) 273-8056

NPI assigned

Aug 9, 2019

Last updated

Nov 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Riesbeck

Title

Accountant

Phone

(574) 993-4464

Specialties & licenses 1

Addresses

Other names 1

• SUSAN M MOORE-RIESBECK DO Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Marie Moore-Riesbeck, D.O.

  • Family Medicine Physician
  • Elkhart, IN
  • NPI 1215090378
  Medicare reassignment NPD

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1174178701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465300175",
            "telephone_number": "574-273-8053",
            "fax_number": "574-273-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28070 COUNTY ROAD 24",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179717",
            "telephone_number": "574-273-8053",
            "fax_number": "574-273-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "RIESBECK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "574-993-4464"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUSAN M MOORE-RIESBECK DO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUSAN M MOORE-RIESBECK DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Lynn Smith, PA-C
• Mary Smith
• Stephanie A. Smith, NP
• Krystal Smoot
• Michael Ellsworth Smothers, M.D.
• Jon B Smucker, MD
• Beth Ann Snider, MD
• Brandi Snider
• Christina Snider
• Jennifer Snider

• Geriatric Medicine (Family Medicine) Physician in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Geriatric Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.