Active NPI
Rivers Edge Pediatrics Inc
- Pediatrics Physician
- Dublin, OH
National Provider Identifier
1639236102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35081127
- Legal business name
- RIVERS EDGE PEDIATRICS INC
- Practice address
- 100 N High Street
Suite a
Dublin, OH 43017 - Phone
- (614) 889-7772
- Fax
- (614) 764-0843
- NPI assigned
- Jan 3, 2007
- 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
- Mrs. Christine A Pope
- Title
- Practice Administrator
- Phone
- (614) 889-7772
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35059012 | OH | |
| Pediatrics Physician | 208000000X | 35078015 | OH | |
| Pediatrics Physician | 208000000X | 35081127 | OH | Primary |
Addresses
Primary practice location
100 N High Street
Suite a
Dublin, OH 43017
Mailing address
100 N High Street
Suite a
Dublin, OH 43017
Phone (614) 889-7772
National Provider Directory
National Provider DirectoryLocations
100 N High St
Apt A
Dublin, OH 43017
Phone (614) 889-7772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639236102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HIGH STREET",
"address_2": "SUITE A",
"city": "DUBLIN",
"state": "OH",
"postal_code": "43017",
"telephone_number": "614-889-7772",
"fax_number": "614-764-0843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HIGH STREET",
"address_2": "SUITE A",
"city": "DUBLIN",
"state": "OH",
"postal_code": "43017",
"telephone_number": "614-889-7772",
"fax_number": "614-764-0843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERS EDGE PEDIATRICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POPE",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "614-889-7772",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": "35059012",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": "35078015",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": "35081127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.