MR. DENNIS W RIVENBURGH


Address: 5051 Greenspring Ave, Baltimore, MD 21209-4354
Phone: 4106019515

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE 970005415 01
FL 290365200 05

Office Location

Street Address 5051 GREENSPRING AVE
City BALTIMORE
State MD
Zip Code 21209-4354

Providers in the same location

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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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
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1083118418 Jerome N Beck Speech-Language Pathologist 5710 Newbury St., Baltimore, MD 21209 2018-03-21
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BALTIMORE
Zip Code 21209

Improve Information

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Dataset Information

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.

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