NPIMap

Individual provider Active NPI

James E Rider, MD

  • Cardiovascular Disease Physician
  • Green Bay, WI
National Provider Identifier
1568525988
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
50202-20 Issued in WI
Practice address
744 S Webster Ave
2 Floor
Green Bay, WI 54301-3505
Phone
(920) 433-3640
Fax
(920) 433-3716
NPI assigned
Dec 18, 2006
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44251 MN
Cardiovascular Disease Physician 207RC0000X 50202-20 WI Primary

Addresses

Primary practice location

744 S Webster Ave
2 Floor
Green Bay, WI 54301-3505

Mailing address

744 S Webster Ave
2 Floor
Green Bay, WI 54301-3505
Phone (920) 433-3640

Other identifiers 3

IdentifierTypeStateIssuer
34191300MedicaidWI
105189687MedicaidMI
0B10043OtherMIBCBS - MI PIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071115000459 WI Practitioner - Cardiovascular Disease (Cardiology) 4082651278 Reassigns benefits to 5 organizations
I20080314000110 MI Practitioner - Cardiovascular Disease (Cardiology) 4082651278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Carolina at Chapel Hill School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, shared by 10 NPIs, 685 clinicians
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1414 W Fair Ave
Marquette, MI 49855-5407
Phone (906) 225-6701

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707

3409 Ludington St
Escanaba, MI 49829-4213

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3640

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Internal Medicine CurrentSince Aug 5, 2007 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Nov 1, 2016 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc Cardiovascular Disease Current Accepting new patients
Froedtert Manitowoc Medical Group, LLC Internal Medicine CurrentSince Apr 2, 2022 Accepting new patients
Bellin Memorial Hospital Inc Cardiovascular Disease CurrentSince Aug 5, 2007 Accepting new patients
Oconto Hospital & Medical Center Inc Cardiovascular Disease CurrentSince Nov 1, 2016 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Feb 1, 2024 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
St. Francis Hospital Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
St. Francis Hospital Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Feb 1, 2024 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jul 10, 2023 Accepting new patients
St Francis Hospital CurrentSince Dec 1, 2023 Accepting new patients
Cardiology Associates of Green Bay, LTD Cardiovascular Disease Past Accepting new patients
Bellin Memorial Hospital Inc PastSince Jul 10, 2023 Accepting new patients

Locations

106 S School Rd
Daggett, MI 49821
Phone (906) 753-2155

2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

1414 W Fair Ave
Ste 390
Marquette, MI 49855
Phone (906) 225-3881

1100 10th St
Menominee, MI 49858
Phone (906) 863-2256

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

744 S Webster Ave
#2
Green Bay, WI 54301

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

Interoperability endpoints

  • Direct secure messaging: jrider33106@direct.thedacare.org
  • Direct secure messaging: jrider859880@direct.emplifyhealth.org
  • Direct secure messaging: jrider916851@direct.emplifyhealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1568525988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "address_2": "2 FLOOR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3640",
            "fax_number": "920-433-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "address_2": "2 FLOOR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3640",
            "fax_number": "920-433-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "44251",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "50202-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34191300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105189687",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MI PIN #",
            "identifier": "0B10043",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.