Active NPI
Riverside GYN Inc
- Legal Medicine
- Cincinnati, OH
National Provider Identifier
1982933842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 35058827
- Legal business name
- RIVERSIDE GYN INC
- Practice address
- 5777 Kellogg Ave
Cincinnati, OH 45230-7142 - Phone
- (513) 232-3232
- Fax
- (513) 333-3024
- NPI assigned
- Dec 23, 2009
- 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
- Tari S Anderson, M.D.
- Title
- President
- Phone
- (513) 232-3232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 35058827 | OH | Primary |
| Legal Medicine | 173000000X | OH048288 | OH |
Addresses
Primary practice location
5777 Kellogg Ave
Cincinnati, OH 45230-7142
Mailing address
5777 Kellogg Avenue
Cincinnati, OH 45230
Phone (513) 232-3232
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6418350001 | Other | OH | MEDICARE DME |
| 2565139 | Medicaid | OH | |
| 0605652 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
5777 Kellogg Ave
Cincinnati, OH 45230
Phone (513) 232-3232
Interoperability endpoints
- https://api.platform.athenahealth.com/2376/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Cincinnati, OH
- NPI 1326142829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1982933842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 KELLOGG AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45230",
"telephone_number": "513-232-3232",
"fax_number": "513-232-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 KELLOGG AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452307142",
"telephone_number": "513-232-3232",
"fax_number": "513-333-3024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE GYN INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-23",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "TARI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-232-3232",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "OH",
"license": "35058827",
"primary": true
},
{
"code": "173000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "OH",
"license": "OH048288",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "6418350001",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565139",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0605652",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.