Riverchase Obstetrics & Gynecology

Primary specialty

SpecialistTaxonomy code 174400000X

License

7503 Issued in AL

Legal business name

RIVERCHASE OBSTETRICS & GYNECOLOGY

Practice address

130 Riverchase Pkwy E
Birmingham, AL 35244-1811

Phone

(205) 988-8294

Fax

(205) 403-0376

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Guy E Blaudeau, MD

Title

Owner

Phone

(205) 988-8294

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Womens Clinic Other name

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1467580415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RIVERCHASE PKWY E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441811",
            "telephone_number": "205-988-8294",
            "fax_number": "205-403-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RIVERCHASE PKWY E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441811",
            "telephone_number": "205-988-8294",
            "fax_number": "205-403-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCHASE OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BLAUDEAU",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-988-8294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "7503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000084513",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000042",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Womens Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• River City Allergy & Medical PA
• Natalie Marie Rivera Vargas, MD
• Caleb Zachary Rivera, MD
• Emily M Rivera
• Patricia Ann Rivera, PH.D.
• Lisandra Riveron Rodriguez
• Careybeth Hayes Rivers, DMD
• Carleton Gage Rivers
• Dana Rives
• Douglas Rives

• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.