| Mr Gregory J Rivenbark, CAA | |
|
7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 | |
| (440) 350-0832 | |
| Not Available |
| Full Name | Mr Gregory J Rivenbark |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 7757 Auburn Rd Ste 15, Painesville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164089306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67000350 (Ohio) | Primary |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory J Rivenbark, CAA 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 Ph: (440) 350-0832 | Mr Gregory J Rivenbark, CAA 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 Ph: (440) 350-0832 |
Thomas Bender, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 W Erie St, Suite 203, Painesville, OH 44077 Phone: 440-350-0832 Fax: 440-354-7420 | |
Matthew Ciotti, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 W Erie St, Suite 203, Painesville, OH 44077 Phone: 440-350-0832 Fax: 440-354-7420 | |
Marcus Steven Bartels, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7590 Auburn Rd, Painesville, OH 44077 Phone: 440-350-0832 Fax: 440-579-0191 |