Organization Active NPI

Riverside GYN Inc

  • Legal Medicine
  • Cincinnati, OH
National Provider Identifier
1982933842
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
35058827 Issued in OH
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

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Tari S Anderson, M.D.NPI 1326142829
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)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X 35058827 OH Primary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6418350001OtherOHMEDICARE DME
2565139MedicaidOH
0605652MedicaidOH

National Provider Directory

National Provider Directory

Locations

5777 Kellogg Ave
Cincinnati, OH 45230
Phone (513) 232-3232

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.