Organization Active NPI

Marcus Riedhammer, MD, PC

  • Family Medicine Physician
  • Williamsport, PA
National Provider Identifier
1699791566
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARCUS RIEDHAMMER, MD, PC
Practice address
1100 Grampian Blvd
4TH Floor
Williamsport, PA 17701-1909
Phone
(570) 326-8550
Fax
(570) 326-8551
NPI assigned
Jul 14, 2006
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Marcus Riedhammer, MDNPI 1164486999
Title
President
Phone
(570) 769-7941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1100 Grampian Blvd
4TH Floor
Williamsport, PA 17701-1909

Mailing address

PO Box 169
Woolrich, PA 17779-0169
Phone (570) 748-7901

National Provider Directory

National Provider Directory

Locations

1100 Grampian Blvd
Fl 4
Williamsport, PA 17701
Phone (570) 326-8410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1699791566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "WOOLRICH",
            "state": "PA",
            "postal_code": "177790169",
            "telephone_number": "570-748-7901",
            "fax_number": "570-769-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GRAMPIAN BLVD",
            "address_2": "4TH FLOOR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011909",
            "telephone_number": "570-326-8550",
            "fax_number": "570-326-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS RIEDHAMMER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "RIEDHAMMER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-769-7941",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.