Organization Active NPI

Riemer Dermatology PLLC

  • Medical Specialty Clinic/Center
  • Ludington, MI
National Provider Identifier
1891300281
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
RIEMER DERMATOLOGY PLLC
Practice address
5959 Lawndale St
Ludington, MI 49431-2921
Phone
(231) 268-0302
Fax
(405) 337-9738
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Dr. Christie Riemer, MDNPI 1285098947
Title
Ceo, Founder
Phone
(616) 350-2901

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

5959 Lawndale St
Ludington, MI 49431-2921

Mailing address

6785 N Hamlin Shoals LN
Ludington, MI 49431-8516
Phone (616) 350-2901

Other practice location 1

7 Atkinson Dr Ste 302
Ludington, MI 49431-1917
Phone (231) 268-0302

Other names 1

  • Riemer Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201016000489 MI Part B Supplier - Clinic/Group Practice 4688094477 Receives reassigned benefits from 1 practitioner
Practice locations: Ludington, MI

National Provider Directory

National Provider Directory

Locations

1200 E Tinkham Ave
Ludington, MI 49431
Phone (231) 480-1116

5959 Lawndale St
Ludington, MI 49431
Phone (231) 845-6261

7 Atkinson Dr
Ste 302
Ludington, MI 49431
Phone (231) 268-0302

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00248

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1891300281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 N HAMLIN SHOALS LN",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494318516",
            "telephone_number": "616-350-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 LAWNDALE ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312921",
            "telephone_number": "231-268-0302",
            "fax_number": "405-337-9738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Atkinson Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ludington",
            "state": "MI",
            "postal_code": "494311917",
            "country_code": "US",
            "telephone_number": "231-268-0302",
            "fax_number": "405-337-9738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIEMER DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "RIEMER",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "CEO, FOUNDER",
        "authorized_official_telephone_number": "616-350-2901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riemer Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.