Gregory J. Rivenbark, CAA

Anesthesiologist Assistant · Painesville, OH

Individual Active NPI

NPI number 1164089306

Practice location

7757 Auburn Rd Ste 15
Painesville, OH 44077-9604
Phone
(440) 350-0832

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NPI record

NPI
1164089306
Entity type
Individual (Type 1)
Enumeration date
May 23, 2019
Last updated
April 8, 2020
Certified
April 8, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X 67000350 OH

Other practice locations (1)

  • 7590 Auburn Rd, Painesville, OH 44077-9176 · (440) 350-0832

About Gregory Rivenbark

Gregory J. Rivenbark, CAA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604. The NPI number 1164089306 was assigned on May 23, 2019 and the record was last updated on April 8, 2020.

Gregory Rivenbark lists a license in the registry: #67000350 (OH) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gregory J. Rivenbark, CAA?

The NPI number is 1164089306.

What is the phone number of Gregory Rivenbark?

The phone number listed for the practice location is (440) 350-0832.

Where is Gregory Rivenbark located?

7757 Auburn Rd Ste 15, Painesville, OH 44077-9604.

What is the taxonomy code for Gregory Rivenbark?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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