Organization Active NPI

Riverview ENT Center of Central Ohio

  • Otolaryngology Physician
  • Lancaster, OH
National Provider Identifier
1093932691
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
PR9214 Issued in OH
Legal business name
RIVERVIEW ENT CENTER OF CENTRAL OHIO
Practice address
2405 N Columbus St Ste 230
Lancaster, OH 43130-8186
Phone
(740) 681-8300
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roberto J Castellon, M.D.NPI 1073599973
Title
Physician
Phone
(740) 681-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X PR9214 OH Primary

Addresses

Primary practice location

2405 N Columbus St Ste 230
Lancaster, OH 43130-8186

Mailing address

2405 N Columbus St Ste 230
Lancaster, OH 43130-8186
Phone (740) 681-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616001053 OH Part B Supplier - Clinic/Group Practice 7810971876 Receives reassigned benefits from 3 practitioners
Practice locations: Lancaster, OH

National Provider Directory

National Provider Directory

Locations

2405 N Columbus St
Ste 230
Lancaster, OH 43130
Phone (740) 681-8300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9858/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1093932691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST STE 230",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308186",
            "telephone_number": "740-681-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST STE 230",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308186",
            "telephone_number": "740-681-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW ENT CENTER OF CENTRAL OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "CASTELLON",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-681-8300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "PR9214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.