Active NPI
Nancy Barbara Rieder, MD
- Pediatrics Physician
- St. Marys, PA
National Provider Identifier
1578661880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD041387L
- Practice address
- 761 Johnsonburg Road
Suite 160
St. Marys, PA 15857 - Phone
- (814) 834-4399
- Fax
- (814) 788-8092
- NPI assigned
- Sep 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101240588 | VA | |
| Pediatrics Physician | 208000000X | MD041387L | PA | Primary |
Addresses
Primary practice location
761 Johnsonburg Road
Suite 160
St. Marys, PA 15857
Mailing address
763 Johnsonburg Road
St. Marys, PA 15857
Phone (814) 834-4399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012043370004 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1578661880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 JOHNSONBURG ROAD",
"city": "ST. MARYS",
"state": "PA",
"postal_code": "15857",
"telephone_number": "814-834-4399",
"fax_number": "814-788-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 JOHNSONBURG ROAD",
"address_2": "SUITE 160",
"city": "ST. MARYS",
"state": "PA",
"postal_code": "15857",
"telephone_number": "814-834-4399",
"fax_number": "814-788-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDER",
"first_name": "NANCY",
"middle_name": "BARBARA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101240588",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD041387L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012043370004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.