Jornel Rivera, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34006086R Issued in OH

Practice address

550 Mirabeau St
Greenfield, OH 45123-1617

Phone

(937) 981-2116

Fax

(937) 981-9238

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jornel.rivera.1@19197.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madison Family Health Corporation

  • Medical Oncology Physician
  • London, OH
  • NPI 1245442318
  NPD (past)
• Nes Ohio Inc

  • Emergency Medicine Physician
  • Barnesville, OH
  • NPI 1043699200
  NPD (past)
• Southern Ohio NP Care, LLC

  • Urgent Care Clinic/Center
  • West Jefferson, OH
  • NPI 1073751673
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1891753539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MIRABEAU ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451231617",
            "telephone_number": "937-981-2116",
            "fax_number": "937-981-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JORNEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006086R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000319617",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119615",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan R Reeves, D.C.
• Brittany Rinehart
• Tessa J Rinehart, PTA
• Rite Aid
• Rite Aid of Ohio Inc
• Stephanie Roe
• Roman Family Healthcare
• Alexis Rose
• Heather Ross
• Donald C Salzano, DMD

• Internal Medicine Physician in Greenfield, OH
• Providers in Greenfield, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.