Physician Compare National (NPI:1053337931)

HEALTHCARE PROVIDER: JEFFREY GEORGE RIEDER DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053337931
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365593324
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090702000267
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIEDER
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1234 MAIN ST
	Group Practice or individual's line 1 address
City	PECKVILLE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	184522043
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5704895550
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y