Riverside Pulmonary Associates, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RIVERSIDE PULMONARY ASSOCIATES, INC

Practice address

3545 Olentangy River Rd
Ste 201
Columbus, OH 43214-3907

Phone

(614) 267-8585

Fax

(614) 267-9793

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Gail Eugene Mutchler, M.D.

Title

President

Phone

(614) 267-8585

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235135641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD",
            "address_2": "STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143907",
            "telephone_number": "614-267-8585",
            "fax_number": "614-267-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD",
            "address_2": "STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143907",
            "telephone_number": "614-267-8585",
            "fax_number": "614-267-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PULMONARY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MUTCHLER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-267-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMW",
            "identifier": "1356010",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0674462",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MEDIGAP",
            "identifier": "104529",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Methodist Hospital
• Riverside Nephrology Asociates, Inc.
• Riverside Nephrology Associates, Inc.
• Riverside OB/GYN Inc
• Riverside Obstetricians and Gynecologists, Inc.
• Riverside Radiation Oncology Inc
• Riverside Radiology & Interventional Assoc
• Riverside Radiology and Interventional Associates Inc
• Riverside Surgical Associates Inc
• Riverside Trauma Surgeons LLC

• Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.