Individual provider Active NPI

Zachary Martyn Riemenschneider, MD

  • Pediatrics Physician
  • Edmond, OK
National Provider Identifier
1801389275
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33871 Issued in OK
Practice address
16440 Muirfield PL
Edmond, OK 73013-9161
Phone
(405) 513-8880
NPI assigned
Jun 11, 2018
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 33871 OK Primary

Addresses

Primary practice location

16440 Muirfield PL
Edmond, OK 73013-9161

Mailing address

2109 N Kelly Ave
Edmond, OK 73003-3908
Phone (405) 513-8880

Other practice location 1

2109 N Kelly Ave
Edmond, OK 73003-3908
Phone (405) 513-8880

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33871OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edmond Pediatrics Pediatrics CurrentSince Dec 21, 2021 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris Health Edmond, Inc Past Accepting new patients

Locations

16440 Muirfield Pl
Edmond, OK 73013
Phone (405) 513-8880

2109 N Kelly Ave
Edmond, OK 73003
Phone (405) 513-8880

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1801389275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033908",
            "telephone_number": "405-513-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16440 MUIRFIELD PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139161",
            "telephone_number": "405-513-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 N Kelly Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730033908",
            "country_code": "US",
            "telephone_number": "405-513-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEMENSCHNEIDER",
        "first_name": "ZACHARY",
        "middle_name": "MARTYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "33871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.