Active NPI
Scott C Friedersdorf, D.P.M.
- Podiatrist
- Hannibal, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2003009611
- Practice address
- 100 Medical Dr
Hannibal, MO 63401-6877 - Phone
- (573) 231-3773
- Fax
- (573) 231-3828
- NPI assigned
- Jan 11, 2006
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2003009611 | MO | Primary |
Addresses
Primary practice location
100 Medical Dr
Hannibal, MO 63401-6877
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308463702 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfriedersdorf29602@blessing.medalliesdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 406-5800
101 Medical Dr
Hannibal, MO 63401-6884
Phone (573) 221-5250
103 E Commercial St
Kahoka, MO 63445-1701
Phone (217) 223-8400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 1086 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003009611 | MO | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients |
Locations
1414 Main St
Keokuk, IA 52632
Phone (319) 524-0123
100 Medical Dr
Hannibal, MO 63401
101 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
1811 S Main St
Palmyra, MO 63461
Phone (573) 769-2231
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
- sfriedersdorf@hannibalclinic.directbygreenway.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Blessing Health Monroe City
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
dba Blessing ER Physician Group
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, IL
- NPI 1558489021
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1508845298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016877",
"telephone_number": "573-231-3773",
"fax_number": "573-231-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDERSDORF",
"first_name": "SCOTT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "2003009611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308463702",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfriedersdorf29602@blessing.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Medical Dr",
"city": "Hannibal",
"state": "MO",
"country_code": "US",
"postal_code": "634016877",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.