Individual provider Active NPI

Eve M Rider, DO

  • Obstetrics & Gynecology Physician
  • Melbourne, FL
National Provider Identifier
1194793646
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS17094 Issued in FL
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

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
383445481OtherMITAX ID
4640259MedicaidMI
160B41011OtherMIBCBS MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040916000105 MI Practitioner - Obstetrics/Gynecology 1850373283 Reassigns benefits to 1 organization
I20201030000242 FL Practitioner - Obstetrics/Gynecology 1850373283 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Promed Healthcare CurrentSince Apr 28, 2023 Accepting new patients
Ascension Medical Group Promed Obstetrics & Gynecology CurrentSince Apr 28, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 1, 2020 Accepting new patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Jan 18, 2021 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Jan 18, 2021 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.

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

Verify at the official NPI Registry.