NPIMap

Organization Active NPI

Riverside Obstetrics & Gynecology

Doing business as Riverside OBGYN

  • Obstetrics & Gynecology Physician
  • Riverside, CT
National Provider Identifier
1437212248
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
038686 Issued in CT
Legal business name
RIVERSIDE OBSTETRICS & GYNECOLOGY
Doing business as
Riverside OBGYN
Practice address
1200 E Putnam Ave
Riverside, CT 06878-1430
Phone
(203) 637-3337
Fax
(203) 637-3307
NPI assigned
Dec 19, 2006
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Russell Turk, M.D.NPI 1366474959
Title
President
Phone
(203) 637-3337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 038686 CT Primary

Addresses

Primary practice location

1200 E Putnam Ave
Riverside, CT 06878-1430

Mailing address

1200 E Putnam Ave
Riverside, CT 06878-1430
Phone (203) 637-3337

Other identifiers 1

IdentifierTypeStateIssuer
004246569MedicaidCT

Other names 1

  • Riverside OBGYN Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1437212248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E PUTNAM AVE",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781430",
            "telephone_number": "203-637-3337",
            "fax_number": "203-637-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E PUTNAM AVE",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781430",
            "telephone_number": "203-637-3337",
            "fax_number": "203-637-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "TURK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-637-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "038686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246569",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside OBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.