Active NPI
Douglas Charles Rivard, D.O.
- Pediatric Radiology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 2006014609
- Practice address
- 2401 Gillham Rd.
Kansas City, MO 64108 - Phone
- (816) 234-3273
- Fax
- (816) 983-6912
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 2006014609 | MO | Primary |
Addresses
Primary practice location
2401 Gillham Rd.
Kansas City, MO 64108
Mailing address
2401 Gillham Rd.
Kansas City, MO 64108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3986 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| SSM Cardinal Glennon Children's Hospital | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
Organizations & group practices 8
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.
-
dba Saint Francis Medical Center Anesthesia
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
dba SSM Health Cardinal Glennon Children's Hospital
- Pediatrics Physician
- O'Fallon, IL
- NPI 1174577670
MO
-
- Pediatrics Physician
- Kansas City, MO
- NPI 1851437719
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
-
dba Saint Francis Clinic Jackson
- Clinic/Center
- Jackson, MO
- NPI 1992502975
-
dba SSM Health Cardinal Glennon Pediatrics
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
dba SSM Health St. Mary's Hospital Physician Billing
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1366400855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891842365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD.",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD.",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-234-3273",
"fax_number": "816-983-6912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVARD",
"first_name": "DOUGLAS",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "MO",
"license": "2006014609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.