Active NPI
Apollo S Rivera, M.D.
- Personal Emergency Response Attendant
- Ashtabula, OH
National Provider Identifier
1003823493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- 35045041
- Practice address
- 2420 Lake Ave
Ashtabula, OH 44004-4954 - Phone
- (440) 997-2262
- Fax
- (440) 997-6644
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 35045041 | OH | Primary |
Addresses
Primary practice location
2420 Lake Ave
Ashtabula, OH 44004-4954
Mailing address
854 Township Road 713
Ashland, OH 44805-9536
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942460636151 | Other | OH | CARESOURCE |
| 0529584 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oscar Nicholson Jr MD Inc | Past | Accepting new patients | |
| Physicians Link Center LLC | Past | Accepting new patients | |
| University Emergency Specialists of Bedford LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003823493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 TOWNSHIP ROAD 713",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448059536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 LAKE AVE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440044954",
"telephone_number": "440-997-2262",
"fax_number": "440-997-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "APOLLO",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "OH",
"license": "35045041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "942460636151",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0529584",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.