Riverside Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD25214 Issued in OR

Legal business name

RIVERSIDE PEDIATRICS, LLC

Practice address

2120 Exchange St
Suite 202
Astoria, OR 97103-3365

Phone

(503) 325-7337

Fax

(503) 325-3706

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Ramchander Rao Madhavarapu, M.D.

Title

Owner

Phone

(503) 325-7337

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1114048949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST",
            "address_2": "SUITE 202",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033365",
            "telephone_number": "503-325-7337",
            "fax_number": "503-325-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST",
            "address_2": "SUITE 202",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033365",
            "telephone_number": "503-325-7337",
            "fax_number": "503-325-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "MADHAVARAPU",
        "authorized_official_first_name": "RAMCHANDER",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-325-7337",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD25214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119858",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276048",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Rinkevich, MD
• Kirsten Ritchie
• Christie Marie Rivelli
• Rivershore Foot & Ankle Clinic, Inc
• Rivershore Foot and Ankle Clinic Inc.
• Maryellen Yvonne Rizzi
• Mary Elizabeth Rizzo, RN, FNP-BC
• Robert Wayne MD Facs
• Miles David Roberts, PHARMD
• Tina Lyn Roberts, MA, LPC

• Pediatrics Physician in Astoria, OR
• Providers in Astoria, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.