Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Frederick Riederer, MD

Individual provider Pediatric Sports Medicine Physician · NPI 1225076359

Mark Frederick Riederer, MD is a Pediatric Sports Medicine Physician in Salt Lake City, Utah. Licensed in Michigan, Pennsylvania, Tennessee and Utah. Registered with an NPI since 2006.

Licensed in
MI, PA, TN, UT
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

590 Wakara Way
Salt Lake City, UT 84108
Phone: (801) 587-7109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 13944824-1205 (UT)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence 4301083195 (MI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 4301083195 (MI)
Pediatric Sleep Medicine Physician Taxonomy 2080S0012X · Licence MD462484 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence 43020 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence 4301083195 (MI)

Record details

NPI number1225076359
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

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