Active NPI
Riverside Endoscopy Center LLC
- Ambulatory Surgical Clinic/Center
- Steubenville, OH
National Provider Identifier
1073569257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0765AS
- Legal business name
- RIVERSIDE ENDOSCOPY CENTER LLC
- Practice address
- 1805 Sinclair Ave
Steubenville, OH 43953-3327 - Phone
- (740) 264-2686
- NPI assigned
- May 26, 2006
- Last updated
- Apr 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Himanshu Desai, MD
- Title
- Partner
- Phone
- (740) 264-2686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0765AS | OH | Primary |
Addresses
Primary practice location
1805 Sinclair Ave
Steubenville, OH 43953-3327
Mailing address
PO Box 536
Steubenville, OH 43952-5536
Phone (740) 282-2576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2605274 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Steubenville, OH
- NPI 1033116157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239235200000",
"number": "1073569257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 536",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439525536",
"telephone_number": "740-282-2576",
"fax_number": "740-282-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 SINCLAIR AVE",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439533327",
"telephone_number": "740-264-2686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE ENDOSCOPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2009-04-09",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "HIMANSHU",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "740-264-2686",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": "0765AS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2605274",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Steubenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.