Active NPI
Eve M Rider, DO
- Obstetrics & Gynecology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS17094
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (407) 975-0406
- Fax
- (407) 975-0407
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101012030 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | OS17094 | FL | Primary |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3224
Mailing address
1801 Lee Rd
Winter Park, FL 32789-2162
Phone (407) 975-0406
Other practice location 1
5002 W Lemon St
Tampa, FL 33609-1104
Phone (813) 286-0033
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383445481 | Other | MI | TAX ID |
| 4640259 | Medicaid | MI | |
| 160B41011 | Other | MI | BCBS MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Promed Healthcare | Current | Accepting new patients | |
| Ascension Medical Group Promed | Obstetrics & Gynecology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Women's Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Ascension Medical Group Promed | Current | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
5002 W Lemon St
Tampa, FL 33609
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Obstetrics & Gynecology Physician
- Kalamazoo, MI
- NPI 1437201811
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1194793646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 LEE RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892162",
"telephone_number": "407-975-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "407-975-0406",
"fax_number": "407-975-0407"
}
],
"practiceLocations": [
{
"address_1": "5002 W Lemon St",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336091104",
"country_code": "US",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDER",
"first_name": "EVE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101012030",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS17094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "383445481",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4640259",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "160B41011",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.