Provider Type Icon

RIVERSIDE BREAST SPECIALISTS LLC NPI 1528247665


NPI Information

NPI: 1528247665
Provider Name: RIVERSIDE BREAST SPECIALISTS LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
3555 OLENTANGY RIVER RD
SUITE 2020
COLUMBUS, OH
ZIP 43214
Phone: (614) 262-9922
Get Directions

RIVERSIDE BREAST SPECIALISTS LLC is a surgery in Columbus, OH. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. RIVERSIDE BREAST SPECIALISTS LLC NPI is 1528247665. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3555 OLENTANGY RIVER RD
SUITE 2020
COLUMBUS, OH
ZIP 43214-912
Phone: (614) 262-9922
Fax: (614) 262-9927

The provider's authorized official is Larry J Lilly .
The authorized official title is President and has the following contact phone number (614) 262-9922.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 10/25/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery35-03-9979-LOHIOYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19354081MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.