NPIMap

Organization Active NPI

Riverwood Emergency Services Inc.

  • Emergency Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1104888536
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
RIVERWOOD EMERGENCY SERVICES INC.
Practice address
12621 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone
(567) 368-1008
NPI assigned
Apr 3, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jay Taylor, MDNPI 1477525640
Title
Authorized Official
Phone
(567) 368-1008

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

Practitioners 128

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

View all 128

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031125000488 OH Part B Supplier - Clinic/Group Practice 1153225669 Receives reassigned benefits from 68 practitioners
Practice locations: Defiance, OH; Perrysburg, OH; Toledo, OH; Wauseon, OH

National Provider Directory

National Provider Directory

Locations

1 Riverfront Pl
Fl 6
Newport, KY 41071

3100 King Rd
Toledo, OH 43617
Phone (567) 455-5800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

12621 Eckel Junction Rd
Perrysburg, OH 43551-1304

Mailing address

PO Box 365
Perrysburg, OH 43552-0365
Phone (567) 368-1008

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2351360MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2025.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1104888536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435520365",
            "telephone_number": "567-368-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12621 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "567-368-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWOOD EMERGENCY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "567-368-1008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.