Debora J Radder, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD022971E Issued in PA

Practice address

5241 Buffalo Rd
Erie, PA 16510-2391

Phone

(814) 877-5100

Fax

(814) 877-5121

NPI assigned

Jun 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  Medicare reassignment

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1598760159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102391",
            "telephone_number": "814-877-5100",
            "fax_number": "814-877-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102391",
            "telephone_number": "814-877-5100",
            "fax_number": "814-877-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDER",
        "first_name": "DEBORA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD022971E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel a. Lackovic, LCSW LLC
• Elizabeth Robin Raco, LCSW
• Marsha C Racop
• Joseph William Radachy, DO
• Stephen T Radack III, DMD
• Josiah E Radder, MD, PHD
• Rose Marie Radomski, L.P.C.
• MD Saidur Rahman, M.D.
• Julia Rahner, PA-C
• Michael J Rahner, DMD

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.