Highlands OB-GYN, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

34760 Issued in TN

Legal business name

HIGHLANDS OB-GYN, PLLC

Practice address

317 N Hickory Ave
Cookeville, TN 38501-2428

Phone

(931) 528-7527

Fax

(931) 372-8839

NPI assigned

Aug 15, 2013

Organization subpart

No

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

Authorized official

Name

Jose Rivero Jr., M.D.

Title

Owner/Physician

Phone

(931) 528-7527

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7726/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1174956957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N HICKORY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012428",
            "telephone_number": "931-528-7527",
            "fax_number": "931-372-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N HICKORY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012428",
            "telephone_number": "931-528-7527",
            "fax_number": "931-372-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS OB-GYN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "931-528-7527",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "34760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1533195",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.