MARK FREDERICK RIEDERER (NPI# 1225076359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225076359 |
| Entity Type | Individual |
| Full Name | MARK FREDERICK RIEDERER |
| Credential | MD |
| Practice Address |
1500 East Medical Center Dr 3rd Floor Cs Mott Childrens Hospital Recp C Ann Arbor MI 48109-4213 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349365780 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 4301083195 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301083195 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 43020 | TN | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
4301083195 | MI | Allopathic & Osteopathic Physicians |
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
MD462484 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Applied Bank Blvd, Glen Mills, PA 193423501 | 4848008630 | 4848008635 |
| 1600 Rockland Rd, Wilmington, DE 19803 | 3026514200 | 3026514945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366465882 | Mark S. Riederer | Dentist | 9309 Glacier Hwy, B-105, Juneau, AK 99801-9306 | 2006-07-25 |
| Street Address |
1500 EAST MEDICAL CENTER DR 3RD FLOOR CS MOTT CHILDRENS HOSPITAL RECP C |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417731 | Daniel William Berland | Internal Medicine | 1500 East Medical Center Dr, 3rd Floor Taubman Ctr Recp B, Ann Arbor, MI 48109-5352 | 2005-06-17 |
| 1770105405 | Emily Ager | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Dr, B1-380 Taubman Center, Ann Arbor, MI 48109-5305 | 2020-05-15 |
| 1922668987 | Matthew James Wolf | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-20 |
| 1235799644 | Helen Elizabeth Mulcahy | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-18 |
| 1679133490 | Alexander Charles Waselewski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1043870868 | Danielle Rose Vanbeckum | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1881254621 | Megan Kathryn Zakerski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1104484625 | Alicia Isabelle Rolin | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1417515933 | Kristen Elizabeth Unsicker | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1760040273 | Katie Christine Ramos | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1699748384 | Belinda L. Miller Topa | Pediatrics | 6110 Abbot Rd, East Lansing, MI 48823-1410 | 2006-02-11 |
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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.