Provider Demographics
NPI:1013233600
Name:RIEDER, FLORIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORIAN
Middle Name:
Last Name:RIEDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE # A30
Mailing Address - Street 2:DIGESTIVE DISEASE INSTITUTE,CLEVELAND CLINIC FOUNDATION
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0002
Mailing Address - Country:US
Mailing Address - Phone:216-445-4916
Mailing Address - Fax:216-636-0104
Practice Address - Street 1:9500 EUCLID AVE # A30
Practice Address - Street 2:DIGESTIVE DISEASE INSTITUTE,CLEVELAND CLINIC FOUNDATION
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0002
Practice Address - Country:US
Practice Address - Phone:216-445-4916
Practice Address - Fax:216-636-0104
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1013233600282N00000X, 281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No281P00000XHospitalsChronic Disease Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1013233600Medicaid
OH1013233600Medicare NSC
OH1013233600Medicare PIN
OH1013233600Medicare UPIN
OH1013233600Medicare Oscar/Certification