DR. VIVIAN R RIDER (NPI# 1134160492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134160492 |
| Entity Type | Individual |
| Full Name | DR. VIVIAN R RIDER |
| Credential | MD |
| Practice Address |
1122 W Highway 61 Winona MN 55987-1957 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 5076150600 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 71936 | WI | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 34302 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Hart Blvd Ste 100, Monticello, MN 553628929 | 7632952921 | 7632713807 |
| Street Address |
1122 W HIGHWAY 61 |
| City | WINONA |
| State | MN |
| Zip Code | 55987-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811974801 | Cindy Lynn Gile | Physician Assistant | 1122 W Highway 61, Winona, MN 55987-1957 | 2005-12-29 |
| 1992311591 | David Witkiewicz | Pharmacist | 1122 W Highway 61, Winona, MN 55987-1957 | 2020-09-18 |
| 1184275794 | Kelli Ann Polum | Physician Assistant | 1122 W Highway 61, Winona, MN 55987-1957 | 2019-09-25 |
| 1952959603 | Gundersen Lutheran Medical Center Inc | Clinic/Center | 1122 W Highway 61, Winona, MN 55987-1957 | 2019-08-27 |
| 1083969398 | Kelly Rae Hebl Garcia | Nurse Practitioner | 1122 W Highway 61, Winona, MN 55987-1957 | 2012-07-24 |
| 1154439487 | Neil H Tator | Physician Assistant | 1122 W Highway 61, Winona, MN 55987-1957 | 2006-08-27 |
| 1295754463 | Katy S Anthony | Physician Assistant | 1122 W Highway 61, Winona, MN 55987-1957 | 2006-07-19 |
| 1376596536 | Jonathan Edward Knight | Family Medicine | 1122 W Highway 61, Winona, MN 55987-1957 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| Find all providers in zip 55987 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639334873 | Sarah Ann Lallaman | Pediatrics | 855 Mankato Ave, Winona, MN 55987-4868 | 2008-07-28 |
| 1801973979 | Kelli Ostermann | Pediatrics | 855 Mankato Ave, Winona, MN 55987-4868 | 2006-11-01 |
| 1699785246 | Sheila A Hadaway | Pediatrics | 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144164 | Sundus Sabrie | Pediatrics | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 | 2020-08-13 |
| 1356998215 | Katie Marie Heille | Pediatrics | 305 W Franklin Ave Apt 201, Minneapolis, MN 55404-2308 | 2019-08-24 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1043709124 | Erica Wade Lundberg | Pediatrics | 4875 Cottonwood Ln N, Plymouth, MN 55442-2277 | 2018-05-04 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1942736103 | Taylor Ashley Argo | Pediatrics | 717 Delaware Street Se, Suite 353, General Pediatrics & Adolescent Health, Minneapolis, MN 55455 | 2017-05-10 |
| 1932634052 | Christopher Maierhofer | Pediatrics | 715 S 8th St Fl 3, Minneapolis, MN 55404-1210 | 2017-04-26 |
| 1487009817 | Kalli Amber Hess | Pediatrics | 111 Hundertmark Rd #420, Chaska, MN 55318-1459 | 2016-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.