DR. VICTOR RIVERA (NPI# 1073584793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073584793 |
| Entity Type | Individual |
| Full Name | DR. VICTOR RIVERA |
| Credential | M.D. |
| Practice Address |
3535 S Jefferson Ave Suite 106 Saint Louis MO 63118-3930 |
| Practice Telephone | 3147714600 |
| Practice Fax Number | 3147711701 |
| Mailing Telephone | 3147714600 |
| Mailing Fax Number | 3147711701 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | R8843 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200997104 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225568637 | Victor Daniel Rivera | Occupational Therapy Assistant | 7529 W Roma Ave, Phoenix, AZ 85033-2443 | 2017-06-18 |
| 1316385040 | Victor Rivera | Counselor | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2013-06-04 |
| 1417261777 | Victor D Rivera | Counselor | Santa Juanita, Ll 22 30, Bayamon, PR 00956 | 2010-07-28 |
| 1568576569 | Victor Rivera | Dentist | Ave. Santa Juanita, Ak 5, Bayamon, PR 00956 | 2006-08-18 |
| 1033129473 | Victor Manuel Rivera | Urology | 1 Calle Baldorioty, Caguas, PR 00725-2607 | 2006-08-08 |
| 1316994395 | Victor A Rivera | Family Medicine | 1723 Lucerne Ter, Orlando, FL 32806-2916 | 2006-05-27 |
| 1295730166 | Victor Manuel Rivera | Registered Nurse | 11511 Yates St, Silver Spring, MD 20902-2931 | 2005-06-16 |
| 1023675527 | Victor Ivan Rivera | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2019-05-21 |
| 1205348794 | Victor Rivera | Occupational Therapy Assistant | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2017-10-25 |
| 1104342344 | Victor A Rivera Jr. | Behavior Technician | 14235 Sw 274th Way, Homestead, FL 33032 | 2017-08-18 |
| Street Address |
3535 S JEFFERSON AVE SUITE 106 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690004 | Ronald J Gaskin | Surgery | 3535 S Jefferson Ave, #201, Saint Louis, MO 63118-3930 | 2005-09-23 |
| 1053940437 | Christine Anne Vukomanovic | Pharmacist | 3535 S Jefferson Ave, Saint Louis, MO 63118-3930 | 2020-04-07 |
| 1053782276 | Phylicia Grossich | Registered Nurse | 3535 S Jefferson Ave, Saint Louis, MO 63118-3930 | 2015-10-14 |
| 1538537816 | Breeze Hospice of Missouri, LLC | Hospice Care, Community Based | 3535 S Jefferson Ave, Suite 118, Saint Louis, MO 63118-3930 | 2015-09-03 |
| 1164809737 | Danielle Williams | Nurse Practitioner | 3535 S Jefferson Ave, Suite 104, Saint Louis, MO 63118-3930 | 2015-05-02 |
| 1497132286 | Clinical Medical Services LLC | Internal Medicine | 3535 S Jefferson Ave, Saint Louis, MO 63118-3930 | 2015-04-30 |
| 1922426725 | Arch Surgery LLC | Surgery | 3535 S Jefferson Ave, Suite 201, Saint Louis, MO 63118-3930 | 2014-03-31 |
| 1871834408 | Metro Medical Clinic South LLC | Internal Medicine | 3535 S Jefferson Ave, Saint Louis, MO 63118-3930 | 2013-03-06 |
| 1265797898 | Mudasir Asif | Psychiatry & Neurology | 3535 S Jefferson Ave, Ste 118, Saint Louis, MO 63118-3930 | 2012-07-10 |
| 1467715789 | Alberto Viloria Inc | Case Management | 3535 S Jefferson Ave, Suite S-8, Saint Louis, MO 63118-3930 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568984367 | Gsh Lab LLC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 1017b, Saint Louis, MO 63141-8264 | 2017-07-13 |
| 1851825715 | Sydni Fazenbaker Crowell | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141 | 2017-04-18 |
| 1962865170 | Zachary Keller | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 499a, Saint Louis, MO 63141-8260 | 2016-04-04 |
| 1174985154 | Leah Hong | Obstetrics & Gynecology | 6420 Clayton Rd Ste 2800, Saint Louis, MO 63117-1811 | 2016-03-28 |
| 1972997088 | Jennifer E Powel | Obstetrics & Gynecology | 6420 Clayton Rd Ste 230-a, Saint Louis, MO 63117-1811 | 2015-03-26 |
| 1386068864 | Wcc 2, LLC | Obstetrics & Gynecology | 3023 N Ballas Rd Bldg D, Suite 120d, Saint Louis, MO 63131-2330 | 2014-02-05 |
| 1881987410 | Herman Taute | Obstetrics & Gynecology | 12040 Heatherdane Dr, Saint Louis, MO 63131-3119 | 2011-05-16 |
| 1174828198 | Frank Eugene Hunleth | Obstetrics & Gynecology | 5331 Donovan Ave, Saint Louis, MO 63109-2635 | 2011-01-22 |
| 1972804631 | Anastasios K Dagartzikas | Obstetrics & Gynecology | 12902 Tundra Ct, Saint Louis, MO 63131-1319 | 2010-11-11 |
| 1811227390 | Laurel D Fendrich | Obstetrics & Gynecology | 10010 Kennerly Rd Fl 4, Saint Louis, MO 63128 | 2010-01-06 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
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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.