Riverside Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

04979738 Issued in KY

Legal business name

RIVERSIDE MEDICAL CENTER

Practice address

3609 Alexandria Pike
Cold Spring, KY 41076-2029

Phone

(513) 542-2456

Fax

(513) 542-3139

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eyad K Alhah, MD

Title

Ceo

Phone

(513) 542-2456

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Eyad Alhaj, MD

  • Interventional Cardiology Physician
  • Bourbonnais, IL
  • NPI 1770698375
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1174780613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 NORTHLAND BLVD",
            "address_2": "STE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403221",
            "telephone_number": "513-542-2456",
            "fax_number": "513-542-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 ALEXANDRIA PIKE",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410762029",
            "telephone_number": "513-542-2456",
            "fax_number": "513-542-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ALHAH",
        "authorized_official_first_name": "EYAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-542-2456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "04979738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64345002",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65906976",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Reasoner, BS, COTA/L
• Fonda Reis, CSW
• Anna Remley, PHARMD
• Jill Celeste Ritter, M.S.
• River Valley Dialysis LLC (Cold Spring Dialysis)
• Bryan Thomas Robinett, D.C.
• Colleen Roddy
• Whitney Michelle Rodriguez
• Amanda Jean Russell, MA CF/SLP
• Jacklyn Sampson, PHARMD

• Clinic/Center in Cold Spring, KY
• Providers in Cold Spring, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.