Susan J Riegg, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

33675 Issued in WI

Practice address

13111 N Port Washington Road
Mequon, WI 53097

Phone

(262) 243-7471

Fax

(262) 243-7407

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lake Country Pathologists SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Waukesha, WI
  • NPI 1285691519

  Anatomic Pathology & Clinical Pathology

  NPD (past)
• North Shore Pathologists SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Milwaukee, WI
  • NPI 1184703829

  Anatomic Pathology & Clinical Pathology

  NPD (past)
• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613
  NPD (past)
• Harris S Goldenberg, M.D., S.C.

  • General Practice Physician
  • Northbrook, IL
  • NPI 1265817837
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255439097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11697 N CANTERBURY DRIVE",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-242-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 N PORT WASHINGTON ROAD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53097",
            "telephone_number": "262-243-7471",
            "fax_number": "262-243-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGG",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "33675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32106200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Rice, M.D.
• Richard a Haas MDSC
• Courtney B Richter, PA-C
• Kathy Rider
• John E. Ridley III, MD
• Meghan L Riehle, CCC-SLP
• Righteous Parenting Association LLC
• Tiffany Rindt
• Joseph Rinka, PHARM.D.
• Lillian Risch, LCSW

• All providers in Mequon, WI
• Anatomic Pathology & Clinical Pathology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.