Ridgepark Medical Associates Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RIDGEPARK MEDICAL ASSOCIATES INC

Doing business as

Rockside Medical Associates

Practice address

1440 Rockside Rd Ste 202
Parma, OH 44134-2749

Phone

(216) 749-8276

Fax

(216) 749-8240

NPI assigned

Feb 22, 2006

Last updated

May 10, 2018By 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

Charles R Koepke, MDNPI 1518951193

Title

President

Phone

(216) 749-8276

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rockside Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ridgepark Medical Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ridgepark Medical Associates, Inc.

  • Clinical Medical Laboratory
  • Brooklyn, OH
  • NPI 1407865488
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Ridgepark Nurse Practitioners LLC

  • Primary Care Nurse Practitioner
  • Brooklyn, OH
  • NPI 1528311198

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Charles Robert Koepke, MD

  • Internal Medicine Physician
  • Parma, OH
  • NPI 1518951193
  Medicare reassignment Care Compare group NPD Authorized official
• Morgan Koepke, MD

  • Internal Medicine Physician
  • Parma, OH
  • NPI 1124280474
  Medicare reassignment Care Compare group NPD
• Bobby W Paul, M.D.

  • Internal Medicine Physician
  • Parma, OH
  • NPI 1902852148
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1285609214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-749-8276",
            "fax_number": "216-749-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-749-8276",
            "fax_number": "216-749-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEPARK MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "KOEPKE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-749-8276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP09205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005145",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockside Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockside Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Richnavsky, OTR/L
• Ridge-Pleasant Valley, Inc. (Pleasantview Care Center)
• Ridge-Pleasant Valley, Inc. (Pleasantview Care Center)
• Ridge-Pleasant Valley, Inc. (Pleasantview Care Center - Laboratory)
• Ridgepark Family Practice
• Georgenna Riley, D.O.
• Lorene Ann Riley
• Ripepi and Associates Foot & Ankle Clinic Inc
• Joseph C. Ripepi, DPM
• Virginia Ruth Ripepi, RN

• Internal Medicine Physician in Parma, OH
• Providers in Parma, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.