Individual provider Active NPI

Rebecca M Ryder, MD

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
National Provider Identifier
1407821291
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101051152 Issued in VA
Practice address
516 Innovation Dr
Ste 305
Chesapeake, VA 23320-3866
Phone
(757) 312-8221
Fax
(757) 312-8382
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101051152 VA Primary

Addresses

Primary practice location

516 Innovation Dr
Ste 305
Chesapeake, VA 23320-3866

Mailing address

516 Innovation Dr
Ste 305
Chesapeake, VA 23320-3866
Phone (757) 312-8221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000645 VA Practitioner - Obstetrics/Gynecology 6608855762 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince May 3, 2004 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients

Locations

516 Innovation Dr
Ste 305
Chesapeake, VA 23320
Phone (757) 312-8221

300 Medical Pkwy
Ste 302
Chesapeake, VA 23320
Phone (757) 312-8403

112 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 312-8221

844 Kempsville Rd
Ste 210
Norfolk, VA 23502
Phone (757) 461-6131

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

Organizations & group practices 4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1407821291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 INNOVATION DR",
            "address_2": "STE 305",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203866",
            "telephone_number": "757-312-8221",
            "fax_number": "757-312-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 INNOVATION DR",
            "address_2": "STE 305",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203866",
            "telephone_number": "757-312-8221",
            "fax_number": "757-312-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101051152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.