ROBERT FITZGERALD RIDER


Address: 1661 Soquel Drive, Building G, Santa Cruz, CA 95065-1709
Phone: 8314761542

ROBERT FITZGERALD RIDER (NPI# 1790799534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790799534
Entity Type Individual
Full Name ROBERT FITZGERALD RIDER
Credential MD
Practice Address 1661 Soquel Drive
Building G
Santa Cruz
CA 95065-1709
Practice Telephone 8314761542
Practice Fax Number 8314648977
Mailing Telephone 8314761542
Mailing Fax Number 8314648977
Enumeration Date 2006-07-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
G10718 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G107180 05

Other Providers ROBERT RIDER

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1497384333 Robert Rider Specialist 2077 Miamisburg Centerville Rd, Dayton, OH 45459-3846 2020-04-03
1427432632 Robert Lawrence Rider Clinical Neuropsychologist 4050 S 26th St, Suite 140, Philadelphia, PA 19112-1613 2015-07-17

Office Location

Street Address 1661 SOQUEL DRIVE
BUILDING G
City SANTA CRUZ
State CA
Zip Code 95065-1709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730152208 Daniel E Erdman Radiology 1661 Soquel Drive, Building G, Santa Cruz, CA 95065 2006-02-07
1295841518 Neal Everett Swanson Radiology 1661 Soquel Drive, Bldg G, Santa Cruz, CA 95065-1709 2006-08-21
1952315350 Richard Alan Williams Radiology 1661 Soquel Drive, Bldg G, Santa Cruz, CA 95065-1709 2006-07-28
1023031234 Nicholas Astromoff Radiology 1661 Soquel Drive, Building G, Santa Cruz, CA 95065-1709 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295335743 Mindful Living Psychotherapy Clinic/Center 24340 Ca-78, Ramona, CA 95065 2020-10-26
1265084297 Care From The Heart In Home Services, Inc. In Home Supportive Care 3141 Paul Sweet Road, Santa Cruz, CA 95065 2019-07-10
1215410188 Barry Lynn Keeler Pharmacist Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 2018-09-07
1407212582 Naikan Counseling Center Community/Behavioral Health 3319b Mission Drive, Santa Cruz, CA 95065 2016-01-05
1124461587 Lindsay Mooney Obstetrics & Gynecology 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 2013-04-16
1689911398 Gabriela Alejandra Torres De Fernandez Dentist 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 2013-01-15
1184999211 Shannon Leigh Purpuri Midwife 401 Happy Valley Rd, Santa Cruz, CA 95065 2012-03-22
1619119997 Himabindu Pitta Hospitalist 1555 Soquel Dr., Santa Cruz, CA 95065 2009-04-01
1780834614 Rym C Partridge Dentist 3337 Mission Dr., Santa Cruz, CA 95065 2008-09-29
1710177159 Jill Bewley Acupuncturist 100 Burton Dr, Santa Cruz, CA 95065 2007-08-01
Find all providers in zip 95065

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073969838 Modesto Radiological Medical Group, Inc Radiology 148 Beachview Ave, Santa Cruz, CA 95060-3008 2016-05-11
1215179775 Louis Russo Zwerling Radiology 1020 Laurent St, Santa Cruz, CA 95060-2506 2009-03-30
1588778252 Leping Pu Radiology 1661 Soquel Dr Ste G, Santa Cruz, CA 95065 2006-08-18
1619987674 Radiology Medical Group of Santa Cruz County Inc Radiology 1685 B Commercial Way, Santa Cruz, CA 95065-1703 2006-08-09
1992715601 Radiology Medical Group of Santa Cruz County Inc Radiology 1545 Soquel Drive, Santa Cruz, CA 95065-1705 2006-08-08
1093714511 Roy Elias Martinez Radiology 1661 Soquel Dr, Building G, Santa Cruz, CA 95065-1709 2005-07-18
1104119544 Nicholas Thomas Rudnick Radiology 1661 Soquel Dr Ste G, Santa Cruz, CA 95065-1709 2011-05-18
1215253349 Dustin Newell Radiology 1661 Soquel Dr Ste G, Santa Cruz, CA 95065-1709 2010-04-14
1043448194 Ka-wah Tung Radiology 1661 Soquel Dr, Santa Cruz, CA 95065-1709 2009-06-29
1356582662 Monica Harish Radiology 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2009-03-16
Find all providers in SANTA CRUZ

Competitor

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City SANTA CRUZ
Zip Code 95065

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Dataset Information

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.

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