MR. GREGORY J RIVENBARK (NPI# 1164089306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164089306 |
| Entity Type | Individual |
| Full Name | MR. GREGORY J RIVENBARK |
| Credential | CAA |
| Practice Address |
7757 Auburn Rd Ste 15 Painesville OH 44077-9604 |
| Practice Telephone | 4403500832 |
| Mailing Telephone | 4403500832 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2020-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 67000350 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7590 Auburn Rd, Painesville, OH 440779176 | 4403500832 | 4405790191 |
| Street Address |
7757 AUBURN RD STE 15 |
| City | PAINESVILLE |
| State | OH |
| Zip Code | 44077-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831186782 | Mary Colleen Feldkircher | Anesthesiology | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2005-10-04 |
| 1699292243 | Michael Thomas Weber | Nurse Anesthetist, Certified Registered | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2017-08-24 |
| 1982998134 | Erika Hayes | Anesthesiologist Assistant | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2011-06-06 |
| 1619138898 | Regina Renee Toney | Nurse Anesthetist, Certified Registered | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2008-06-20 |
| 1770770976 | Emily Kristen Chakraborty | Nurse Anesthetist, Certified Registered | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2007-10-02 |
| 1598848814 | Tina Marie Gruly | Nurse Anesthetist, Certified Registered | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2006-10-23 |
| 1164456505 | Jeffrey L Ratino | Anesthesiologist Assistant | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2006-07-10 |
| 1215911342 | Sara J Miller | Nurse Anesthetist, Certified Registered | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2005-12-01 |
| 1043200769 | Donnah W Whitaker | Anesthesiology | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2005-10-25 |
| 1548250327 | John J Murphy | Anesthesiology | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2005-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695594 | Signature Health Inc. Pharmacy | Pharmacy | 54 South Saint Claire, Painesville, OH 44077 | 2020-10-06 |
| 1164053385 | Elaine Marie Nelson | Technician, Other | Cosmetic Laser Inc, 8353 Mentor Ave. Unit 7, Mentor, OH 44077 | 2020-01-27 |
| 1760039309 | Laura Bradford | Occupational Therapy Assistant | 12428 Concord-hambden Road, Concord, OH 44077 | 2019-08-19 |
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1093208662 | Lindsey Elaine Varckette | Physical Therapy Assistant | 60 Wood Street, Painesville, OH 44077 | 2018-06-08 |
| 1083116578 | Brian Mills | Hearing Instrument Specialist | 1920 Mentor Ave, Painesville, OH 44077 | 2018-03-01 |
| 1033610324 | Julia Nicole Chase | Pharmacist | 180 W State Street, Painesville, OH 44077 | 2018-02-22 |
| 1104343631 | Donna Sheahan | Nurse Practitioner | 236 Ardmore Blvd, Painesville, OH 44077 | 2017-08-25 |
| 1417474198 | Jacqueline Owens | Registered Nurse | 7757 Auburn Rd, Ste 6 &7, Concord Twp., OH 44077 | 2017-08-24 |
| 1689197303 | Michelle Claire Pierce | Registered Nurse | 311 W. Walnut Ave., Painesville, OH 44077 | 2017-07-25 |
| Find all providers in zip 44077 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568915049 | Marcus Steven Bartels | Anesthesiologist Assistant | 7590 Auburn Rd, Painesville, OH 44077-9176 | 2016-08-01 |
| 1871853457 | Michael E. Vaughn | Anesthesiologist Assistant | 40 W Erie St, Suite 203, Painesville, OH 44077-3274 | 2012-05-17 |
| 1982998134 | Erika Hayes | Anesthesiologist Assistant | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2011-06-06 |
| 1295069367 | Jerry Ning | Anesthesiologist Assistant | 7590 Auburn Rd, Painesville, OH 44077-9176 | 2009-09-23 |
| 1003063728 | Thomas Bender | Anesthesiologist Assistant | 40 W Erie St, Suite 203, Painesville, OH 44077-3274 | 2008-08-25 |
| 1528229838 | Matthew Ciotti | Anesthesiologist Assistant | 40 W Erie St, Suite 203, Painesville, OH 44077-3274 | 2008-06-19 |
| 1164456505 | Jeffrey L Ratino | Anesthesiologist Assistant | 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1902347123 | Eric Klinedinst | Anesthesiologist Assistant | 2126 Murray Hill Rd Apt 1, Cleveland, OH 44106-2339 | 2017-03-20 |
| 1568900371 | James George Davis | Anesthesiologist Assistant | 4902 Wellington Ave, Parma, OH 44134-3564 | 2017-02-01 |
| 1104276963 | Nada Tayeh | Anesthesiologist Assistant | 7831 Hickory Hill Ln, Parma, OH 44130-7664 | 2016-06-13 |
| 1821452020 | Tara Hammann | Anesthesiologist Assistant | 7115 Ludlum Rd, Morrow, OH 45152-7517 | 2016-04-13 |
| 1932588399 | Bianca Shah | Anesthesiologist Assistant | 2400 N Star Ln, Avon, OH 44011-2016 | 2015-05-19 |
| 1376949198 | Amanda Price | Anesthesiologist Assistant | 5455 N Marginal Rd, Apt. 412, Cleveland, OH 44114-3937 | 2014-11-05 |
| 1518381250 | Erin Leslie | Anesthesiologist Assistant | 2195 Auburn Avenue, Cincinnati, OH 45219-2906 | 2014-02-18 |
| 1770862500 | Colleen Dwight Traud | Anesthesiologist Assistant | 1730 W. 25th St, Cleveland, OH 44113 | 2011-08-10 |
| 1134440142 | Zachary Nearman | Anesthesiologist Assistant | 32430 Pinebrook Ln, Pepper Pike, OH 44124-5953 | 2010-06-14 |
| Find all providers with the same taxonomy | ||||
| City | PAINESVILLE |
| Zip Code | 44077 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.