Active NPI
Horace Oliver Reider, M.D.
- General Practice Physician
- Lyndonville, VT
National Provider Identifier
1356595599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 042-0004753
- Practice address
- 47 Park Ave.
Lyndonville, VT 05851 - Phone
- (802) 626-6007
- Fax
- (802) 626-6007
- NPI assigned
- Nov 14, 2008
- Last updated
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 042-0004753 | VT | Primary |
Addresses
Primary practice location
47 Park Ave.
Lyndonville, VT 05851
Mailing address
PO Box 10
East Burke, VT 05832-0010
Phone (802) 626-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0004753 | VT | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1356595599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "EAST BURKE",
"state": "VT",
"postal_code": "058320010",
"telephone_number": "802-626-6007",
"fax_number": "802-626-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 PARK AVE.",
"city": "LYNDONVILLE",
"state": "VT",
"postal_code": "05851",
"telephone_number": "802-626-6007",
"fax_number": "802-626-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIDER",
"first_name": "HORACE",
"middle_name": "OLIVER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VT",
"license": "042-0004753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyndonville, VT
- Pine Knoll Nursing Home, Inc (Pines Rehabilitation & Health Center)
- Pines Health and Rehabilitation Center
- Jonah E Plazek
- Valerie K Pollock, PTA, CNMT
- Post Acute Specialists of Vermont PLC
- Riverside Life Enrichment Center Inc
- Aimee E Rozum, LMHC, LCMHC, ATR-BC
- Evita E. Sandoval, ATC
- Connie L Sanville, M.S.
- William Alan Sargent, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.