RIVERSIDE NEPHROLOGY ASSOCIATES INC. NPI 1780676585

NPI Information

RIVERSIDE NEPHROLOGY ASSOCIATES, INC. is a specialist in Columbus, OH. The provider is 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. RIVERSIDE NEPHROLOGY ASSOCIATES, INC. NPI is 1780676585. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

929 JASONWAY AVE
SUITE 4A
COLUMBUS, OH
ZIP 43214-464
Phone: (614) 538-2250
Fax: (614) 538-2256

The provider's authorized official is Julie Barnes .
The authorized official title is Administrator and has the following contact phone number (614) 538-2250.

The CLIA number assigned to this NPI record is 36D2035039 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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