Organization Active NPI

Rivergate Medical, LLC

  • Clinic/Center
  • Zanesville, OH
National Provider Identifier
1578103230
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RIVERGATE MEDICAL, LLC
Practice address
965 Linden Ave
Zanesville, OH 43701-3049
Phone
(740) 562-8996
NPI assigned
Jan 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Arlie Bobb, NP
Title
Owner
Phone
(740) 562-8996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

965 Linden Ave
Zanesville, OH 43701-3049

Mailing address

1860 Newark Rd
Zanesville, OH 43701-2632

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2337197Rivergate Medical965 Linden Ave, Zanesville, OH 43701Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory

Locations

965 Linden Ave
Zanesville, OH 43701
Phone (740) 455-3001

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1578103230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 NEWARK RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 LINDEN AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013049",
            "telephone_number": "740-562-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGATE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "BOBB",
        "authorized_official_first_name": "ARLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-562-8996",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.