Ridgepark Family Practice

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RIDGEPARK FAMILY PRACTICE

Practice address

5500 Ridge Road
Suite 120
Parma, OH 44129-2367

Phone

(216) 398-5535

Fax

(440) 882-3304

NPI assigned

Jan 22, 2008

Last updated

Feb 17, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

RIDGEPARK FAMILY PRACTICEAs reported in NPPES

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

Authorized official

Name

Dr. Diane Marie Kushnar, DONPI 1659473858

Title

President/Owner

Phone

(216) 398-5535

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Part of

Ridgepark Family Practice

Locations

Practitioners 2

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.

• Diane Marie Kushnar, DO

  • Family Medicine Physician
  • Maple Heights, OH
  • NPI 1659473858
  Medicare reassignment NPD Authorized official
• Jennifer Wright

  • Adult Health Nurse Practitioner
  • Parma, OH
  • NPI 1730036963
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1932386919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 RIDGE ROAD",
            "address_2": "SUITE 120",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44129",
            "telephone_number": "216-398-5535",
            "fax_number": "440-882-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 RIDGE ROAD",
            "address_2": "SUITE 120",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292367",
            "telephone_number": "216-398-5535",
            "fax_number": "440-882-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEPARK FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIDGEPARK FAMILY PRACTICE",
        "enumeration_date": "2008-01-22",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "KUSHNAR",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "216-398-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2651938",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise Richert, PTA
• Kayla Richnavsky, OTR/L
• Ridge-Pleasant Valley, Inc. (Pleasantview Care Center)
• Ridge-Pleasant Valley, Inc. (Pleasantview Care Center)
• Ridge-Pleasant Valley, Inc. (Pleasantview Care Center - Laboratory)
• Ridgepark Medical Associates Inc (Rockside Medical Associates)
• Georgenna Riley, D.O.
• Lorene Ann Riley
• Ripepi and Associates Foot & Ankle Clinic Inc
• Joseph C. Ripepi, DPM

• Clinic/Center in Parma, OH
• Providers in Parma, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.