Active NPI
Riverview Medical Group PLLC
- Family Medicine Physician
- Brush, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60687206
- Legal business name
- RIVERVIEW MEDICAL GROUP PLLC
- Practice address
- 2400 Edison St
Brush, CO 80723-1640 - Phone
- (702) 453-3799
- Fax
- (702) 453-5741
- NPI assigned
- Sep 30, 2016
- Last updated
- Jun 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Pappy, M.D.
- Title
- Sole Owner
- Phone
- (405) 543-4758
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR0057542 | CO | |
| Family Medicine Physician | 207Q00000X | MD60687206 | WA | Primary |
Addresses
Primary practice location
2400 Edison St
Brush, CO 80723-1640
Mailing address
2660 Crimson Canyon Dr Ste 130
Las Vegas, NV 89128-0846
Phone (702) 453-3799
Other practice location 1
1690 Meade St
Denver, CO 80204-1552
Phone (702) 453-3799
Other practice location 2
1221 Highland Ave
Clarkston, WA 99403-2829
Phone (702) 453-3799
Other practice location 3
501 Airport Rd
Rifle, CO 81650-8510
Phone (702) 453-3799
Other practice location 4
1338 Phay Ave
Canon City, CO 81212-2311
Phone (702) 453-3799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1475193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1497204465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 CRIMSON CANYON DR STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280846",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 EDISON ST",
"city": "BRUSH",
"state": "CO",
"postal_code": "807231640",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
}
],
"practiceLocations": [
{
"address_1": "1690 Meade St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802041552",
"country_code": "US",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 Highland Ave",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "WA",
"postal_code": "994032829",
"country_code": "US",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Airport Rd",
"address_purpose": "LOCATION",
"city": "Rifle",
"state": "CO",
"postal_code": "816508510",
"country_code": "US",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1338 Phay Ave",
"address_purpose": "LOCATION",
"city": "Canon City",
"state": "CO",
"postal_code": "812122311",
"country_code": "US",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RIVERVIEW MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-30",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A",
"authorized_official_last_name": "PAPPY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "405-543-4758",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR0057542",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60687206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brush, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.