Organization Active NPI

Riverside Obstetricians and Gynecologists, Inc.

  • Specialist
  • Columbus, OH
National Provider Identifier
1215964283
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35031754 Issued in OH
Legal business name
RIVERSIDE OBSTETRICIANS AND GYNECOLOGISTS, INC.
Practice address
3545 Olentangy River Rd
Ste 114
Columbus, OH 43214-3907
Phone
(614) 268-3581
Fax
(614) 268-8171
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Drema Ward
Title
Practice Manager
Phone
(614) 268-3581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35031754 OH Primary

Addresses

Primary practice location

3545 Olentangy River Rd
Ste 114
Columbus, OH 43214-3907

Mailing address

3545 Olentangy River Rd
Ste 114
Columbus, OH 43214-3907
Phone (614) 268-3581

Other identifiers 4

IdentifierTypeStateIssuer
0700450OtherOHUNITED HEALTH CARE
0120176MedicaidOH
000000160536OtherOHANTHEM
8467396OtherOHAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1215964283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD",
            "address_2": "STE 114",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143907",
            "telephone_number": "614-268-3581",
            "fax_number": "614-268-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD",
            "address_2": "STE 114",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143907",
            "telephone_number": "614-268-3581",
            "fax_number": "614-268-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE OBSTETRICIANS AND GYNECOLOGISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "DREMA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "614-268-3581",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35031754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0700450",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120176",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000160536",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8467396",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.