MR. DENNIS W RIVENBURGH (NPI# 1669454104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669454104 |
Entity Type | Individual |
Full Name | MR. DENNIS W RIVENBURGH |
Credential | PHYSICIAN ASSTISTANT |
Practice Address |
5051 Greenspring Ave Baltimore MD 21209-4354 |
Mailing Address |
601 N Caroline St Fl 5 Baltimore MD 21287-0006 |
Practice Telephone | 4106019515 |
Practice Fax Number | 4106018905 |
Mailing Telephone | 4109556825 |
Enumeration Date | 2005-11-18 |
Last Update Date | 2018-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA3490 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0004803 | MD | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3490 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAILROAD MEDICARE | 970005415 | 01 | |
FL | 290365200 | 05 |
Street Address |
5051 GREENSPRING AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21209-4354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871085464 | Alicia Sharma | Clinical Neuropsychologist | 5051 Greenspring Ave, Baltimore, MD 21209-4354 | 2018-05-31 |
1639620016 | Sinai Hospital of Baltimore | General Acute Care Hospital | 5051 Greenspring Ave, Suite 304, Baltimore, MD 21209-4354 | 2016-10-20 |
1316354491 | Jessica Richards | Psychologist | 5051 Greenspring Ave, Suite 200, Baltimore, MD 21209-4354 | 2014-07-21 |
1114264728 | Sarah Jane Mcquide | Psychologist | 5051 Greenspring Ave, Suite 200, Baltimore, MD 21209-4354 | 2013-01-16 |
1659618064 | Sinai Hospital of Baltimore, Inc | Clinical Neuropsychologist | 5051 Greenspring Ave, Baltimore, MD 21209-4354 | 2013-01-07 |
1063706752 | Peggy Rechthand Lazerow | Pediatrics | 5051 Greenspring Ave, Baltimore, MD 21209-4354 | 2011-05-31 |
1215233788 | Center for Urologic Specialties LLC | Durable Medical Equipment & Medical Supplies | 5051 Greenspring Ave, Suite 302, Baltimore, MD 21209-4354 | 2011-02-01 |
1457655318 | Elizabeth Harlan Michelle | Psychiatry & Neurology | 5051 Greenspring Ave, Baltimore, MD 21209-4354 | 2011-01-06 |
1790005254 | Sinai Hospital of Baltimore, Inc | Urology | 5051 Greenspring Ave, Suite 302, Baltimore, MD 21209-4354 | 2010-06-08 |
1740508605 | Center for Urologic Specialties LLC | Clinic/Center | 5051 Greenspring Ave, Suite 302, Baltimore, MD 21209-4354 | 2010-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1659996239 | Esther Deena Kahn | Occupational Therapist | 2325 Blackberry Rd, Baltimore, MD 21209 | 2020-06-10 |
1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
1982241626 | Mary Della-davis | Technician, Other | 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 | 2019-12-02 |
1982161246 | Sylvia Stewart Powell | Social Worker | 4600 Falls Road, Baltimore, MD 21209 | 2019-02-22 |
1811452279 | Honeyb Wellness | Counselor | 4639 Falls Rd, Baltimore, MD 21209 | 2019-02-09 |
1417448861 | Ting-jia Rosalinda Huang Lorigiano | Student in an Organized Health Care Education/Training Program | 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-05-22 |
1427546126 | Lea Jane Selitsky | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-04-27 |
1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
1083118418 | Jerome N Beck | Speech-Language Pathologist | 5710 Newbury St., Baltimore, MD 21209 | 2018-03-21 |
1700309002 | Michelle Demeule-hayes | Dietitian, Registered | 1708 West Rogers Ave, Baltimore, MD 21209 | 2017-07-19 |
Find all providers in zip 21209 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
1245718733 | Kaitlyn Ayerle | Physician Assistant | 9900 Franklin Square Dr Ste B, Baltimore, MD 21236-5915 | 2018-08-06 |
1376037572 | Marie Hoffman | Physician Assistant | 1838 Greene Tree Rd Ste 400, Baltimore, MD 21208-7103 | 2018-06-20 |
1902315625 | Randy Kimery | Physician Assistant | 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 | 2017-09-26 |
1447701958 | Yuliya Shmyga Fischer | Physician Assistant | 345 St Paul Pl, Baltimore, MD 21202-1937 | 2016-10-19 |
1851845655 | Tamarah Thompson | Physician Assistant | 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 | 2016-08-09 |
1194194449 | Alexzandra Kristyna Briedis | Physician Assistant | 1311 Olive St, Baltimore, MD 21230-4255 | 2015-09-16 |
1295124030 | Miriam Weiss | Physician Assistant | 6602 Troy Ct, Baltimore, MD 21209-2636 | 2015-01-16 |
1972992824 | Kelley Crane | Physician Assistant | 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 | 2015-01-15 |
1447688353 | Adina Bergmann | Physician Assistant | 3630 Milford Mill Rd, Baltimore, MD 21244-3328 | 2013-10-31 |
Find all providers in BALTIMORE |
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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.