| Rowland J Rivero, DO | |
| 
					725 S Shoop Ave, Wauseon, OH 43567-1702  | |
| (419) 330-2603 | |
| Not Available | 
| Full Name | Rowland J Rivero | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 725 S Shoop Ave, Wauseon, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154530368 | NPI | - | NPPES | 
| 2405132 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 34007881 (Ohio) | Primary | 
| 207P00000X | Emergency Medicine | 34.007881 (Ohio) | Secondary | 
| Entity Name | Community Memorial Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730145392 PECOS PAC ID: 0547258907 Enrollment ID: O20040504000912  | 
| Entity Name | Ashland Emergency Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073246971 PECOS PAC ID: 6002290525 Enrollment ID: O20220901002449  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rowland J Rivero, DO 14040 Mohler Rd, Liberty Center, OH 43532-9407 Ph: (419) 509-6687  | Rowland J Rivero, DO 725 S Shoop Ave, Wauseon, OH 43567-1702 Ph: (419) 330-2603  | 
John N Kamau, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 S Shoop Ave, Wauseon, OH 43567 Phone: 419-330-2605 Fax: 419-330-2649  | |
Richard J Grieser, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 735 S Shoop Ave, Wauseon, OH 43567 Phone: 419-335-3242 Fax: 419-335-3222  | |
Rebecca L Mcclarren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 495 S Shoop Ave, Wauseon, OH 43567 Phone: 419-335-7921 Fax: 419-337-5988  | |
Melissa A Pifer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 128 Depot St, Wauseon, OH 43567 Phone: 419-335-0351 Fax: 419-335-0397  | |
Kenton J Kamp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 495 S Shoop Ave, Wauseon, OH 43567 Phone: 419-335-7921 Fax: 419-337-5988  | |
Dr. Kimberly Hagerman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 128 Depot St, Wauseon, OH 43567 Phone: 419-335-0351 Fax: 419-335-0397  |