Active NPI
Jane W Riester, M.D.
- Otolaryngology Physician
- Anderson, SC
National Provider Identifier
1518988450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 14211
- Practice address
- 1655 E Greenville St
Anderson, SC 29621-2062 - Phone
- (864) 716-7750
- Fax
- (864) 716-7769
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 14211 | SC | Primary |
Addresses
Primary practice location
1655 E Greenville St
Anderson, SC 29621-2062
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 716-7750
Other practice location 1
885 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 653-3334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL3092 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14211 | SC | MD | Pharmacist |
Interoperability endpoints
- jriester8307@direct.anmedhealth.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1518988450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100174",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292023174",
"telephone_number": "864-716-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 E GREENVILLE ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212062",
"telephone_number": "864-716-7750",
"fax_number": "864-716-7769"
}
],
"practiceLocations": [
{
"address_1": "885 Tiger Blvd",
"address_purpose": "LOCATION",
"city": "Clemson",
"state": "SC",
"postal_code": "296311480",
"country_code": "US",
"telephone_number": "864-653-3334",
"fax_number": "864-655-5481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIESTER",
"first_name": "JANE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SC",
"license": "14211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TL3092",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.