EDGARDO H RIVERA (NPI# 1619928082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619928082 |
| Entity Type | Individual |
| Full Name | EDGARDO H RIVERA |
| Credential | MD |
| Practice Address |
601 State Route 664 N Logan OH 43138-8541 |
| Mailing Address |
4750 Hempstead Station Dr Kettering OH 45429-5164 |
| Practice Telephone | 7403808000 |
| Mailing Telephone | 8008750136 |
| Mailing Fax Number | 9376194304 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35073841R | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 000000315925 | 01 | |
| OH | 2084506 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366415093 | Edgardo Rivera | Dentist | 4 Calle Vendig, Manati, PR 00674-5327 | 2006-02-13 |
| 1265561070 | Edgardo Rivera | Internal Medicine | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2007-03-05 |
| 1306890157 | Edgardo Rivera | Obstetrics & Gynecology | Ashford Medical Ctr, Suite 402, San Juan, PR 00907-1510 | 2006-05-19 |
| 1184677502 | Edgardo Bernardino Rivera | Family Medicine | 3501 30th Ave, Astoria, NY 11103-4662 | 2006-05-18 |
| Street Address |
601 STATE ROUTE 664 N |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-8541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679566509 | Gail K Larkin | Nurse Anesthetist, Certified Registered | 601 State Route 664 N, Logan, OH 43138-8541 | 2005-08-25 |
| 1669096962 | Leah Kathleen Garrison | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2020-06-02 |
| 1285272849 | Geoffrey T Watson | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2019-12-13 |
| 1073159158 | Holly Christine Smith | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2019-11-23 |
| 1578105441 | Dawna Jean Evans | Pharmacist | 601 State Route 664 N, Logan, OH 43138-9648 | 2019-10-12 |
| 1871089748 | John Wesley Hart | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2018-07-03 |
| 1144747270 | Kaitlin Elizabeth Angle | Clinic/Center | 601 State Route 664 N, Logan, OH 43138-8541 | 2017-08-29 |
| 1700301132 | Jacob M Craig | Occupational Therapy Assistant | 601 State Route 664 N, Logan, OH 43138-8541 | 2017-08-07 |
| 1427424126 | Kathleen Land | Occupational Therapy Assistant | 601 State Route 664 N, Logan, OH 43138-8541 | 2015-08-17 |
| 1083000137 | Denise Kiamy | Dietitian, Registered | 601 State Route 664 N, Logan, OH 43138-8541 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881762649 | Bruce A Isaacson | Family Medicine | 550 E 1400 N Ste Z, Logan, UT 84341-2407 | 2006-12-01 |
| 1184634669 | Glenn O Mortensen | Family Medicine | 1750 N 1000 E, Logan, UT 84341-1909 | 2006-08-08 |
| 1295744522 | Michael C Housley | Family Medicine | 500 E 1400 N, Logan, UT 84341-2465 | 2006-08-05 |
| 1477562767 | Ronald Mark Firth | Family Medicine | 1015 E. 100 N., Logan, UT 84321 | 2006-08-05 |
| 1093723835 | David N N Casey | Family Medicine | 412 N. 200 E., Logan, UT 84321 | 2006-08-04 |
| 1104830884 | Nathan H Call | Family Medicine | 1652 S Main St, Logan, UT 84321-8504 | 2006-07-28 |
| 1033156849 | Brant Wahlen Fonnesbeck | Family Medicine | 550 E 1400 N Ste K, Logan, UT 84341-2450 | 2006-06-01 |
| 1821049776 | Eden Family Practice Inc. | Family Medicine | 313 Hudgins St, Suite 200, Logan, WV 25601-3535 | 2006-05-15 |
| 1114981024 | Ernesto Manuel | Family Medicine | 396 Dingess St, Logan, WV 25601-3624 | 2006-04-17 |
| 1295724359 | David L Cummin | Family Medicine | 751 State Route 664 N, Logan, OH 43138-9250 | 2005-10-20 |
| Find all providers in LOGAN | ||||
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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.