RIVERSIDE PULMONARY ASSOCIATES, INC (NPI# 1235135641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235135641 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PULMONARY ASSOCIATES, INC |
| Practice Address |
3545 Olentangy River Rd Ste 201 Columbus OH 43214-3907 |
| Practice Telephone | 6142678585 |
| Practice Fax Number | 6142679793 |
| Mailing Telephone | 6142678585 |
| Mailing Fax Number | 6142679793 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GAIL EUGENE MUTCHLER (PRESIDENT) |
| Authorized Official Telephone | 6142678585 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0674462 | 05 | |
| OH | UMW | 1356010 | 01 |
| OH | ANTHEM MEDIGAP | 104529 | 01 |
| Street Address |
3545 OLENTANGY RIVER RD STE 201 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578002481 | Diana Lynn Trease | Nurse Practitioner | 3545 Olentangy River Rd, Columbus, OH 43214-3907 | 2017-02-13 |
| 1013363902 | Jeff Kover Dds | Dentist | 3545 Olentangy River Rd, Columbus, OH 43214-3907 | 2016-05-10 |
| 1336554971 | Jordan Counts | Pharmacist | 3545 Olentangy River Rd, Suite 100, Columbus, OH 43214-3907 | 2014-06-23 |
| 1528400595 | Craig Jeffrey Parris | Nurse Practitioner | 3545 Olentangy River Rd, Ste 220, Columbus, OH 43214-3907 | 2013-07-19 |
| 1578833174 | Mark A Straka Dds Inc | Dentist | 3545 Olentangy River Rd, Suite 125, Columbus, OH 43214-3907 | 2012-01-12 |
| 1285951772 | Colon and Rectal Surgical Associates Inc | Colon & Rectal Surgery | 3545 Olentangy River Rd, Suite 500, Columbus, OH 43214-3907 | 2010-04-23 |
| 1255582052 | Maureen L Judson | Nurse Practitioner | 3545 Olentangy River Rd, Suite 401, Columbus, OH 43214-3907 | 2008-10-10 |
| 1154580132 | Marc Palagallo | Internal Medicine | 3545 Olentangy River Rd, Suite 201, Columbus, OH 43214-3907 | 2008-06-05 |
| 1104085000 | Caleb G. Mackey | Internal Medicine | 3545 Olentangy River Rd, Suite 211, Columbus, OH 43214-3907 | 2008-06-05 |
| 1396923686 | Riverside Ob/gyn Inc | Clinic/Center | 3545 Olentangy River Rd, Suite 114, Columbus, OH 43214-3907 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327755 | Dejuan Julius Nelson | Specialist | 4937 Mcallister Ave, Columbus, OH 43227-1447 | 2020-02-09 |
| 1306481676 | Big Heads Barber Salon | Specialist | 6161 Busch Blvd Ste 56, Columbus, OH 43229-2548 | 2019-11-11 |
| 1538723945 | Nakia Frazier | Specialist | 4913 Festival St, Columbus, GA 31907-6065 | 2019-05-01 |
| 1033772868 | Kimberly Gore Salon Inc | Specialist | 2534 Wynnton Rd Ste B, Columbus, GA 31906-2180 | 2019-04-17 |
| 1184108375 | Crystal Denise Allen | Specialist | 3029 Cleveland Ave, Columbus, OH 43224-4421 | 2018-09-24 |
| 1770074445 | Robert Tavani | Specialist | 1203 E Broad St, Columbus, OH 43205-1404 | 2018-05-29 |
| 1689191991 | Columbus Tutoring Services, LLC | Specialist | 2700 E Main St Ste 211, Columbus, OH 43209-2536 | 2017-08-28 |
| 1265985352 | Tim Jones | Specialist | 1527 Eastmeadow Pl, Columbus, OH 43235-7535 | 2016-07-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1487059606 | Wilbert Herschel Turner IIi | Specialist | 1160 Steelwood Rd, Columbus, OH 43212-1356 | 2014-10-30 |
| Find all providers in COLUMBUS | ||||
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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.