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EDGARDO H RIVERA MD
NPI 1619928082
Family Medicine in Logan, OH

Active since May 12, 2006
601 STATE ROUTE 664 N, LOGAN, OH 43138(740) 380-8000 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgardo H Rivera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGARDO H RIVERA MD (NPI 1619928082) is an individual family medicine provider in Logan, Ohio, licensed in Ohio (35073841R) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1619928082
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDGARDO H RIVERACredential: MD
Location Address601 STATE ROUTE 664 NLogan, OH 43138-8541
Mailing Address4750 Hempstead Station DrKettering, OH 45429-5164 · (800) 875-0136 · Fax (937) 619-4304
Phone(740) 380-8000
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 29, 2008
✔ NPI 1619928082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35073841R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
601 STATE ROUTE 664 N, Logan, OH 43138
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Other Identifiers 4

Medicare ID-Type UnspecifiedRI4021725
Medicaid2084506OH
Medicare UPIND49381
Other000000315925Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOCKING VALLEY COMMUNITY HOSPITAL
Medicare Defined Swing Bed Unit
601 STATE ROUTE 664 N
LOGAN, OH 43138
Hocking County (740) 380-8000
MARIE C WALTERS MD
Emergency Medicine
601 STATE ROUTE 664 N
LOGAN, OH 43138
Hocking County (740) 380-8000
DOAN V. NGUYEN MD
Emergency Medicine
601 STATE ROUTE 664 N
LOGAN, OH 43138
Hocking County (740) 380-8000
HOLLY CHRISTINE SMITH APRN-CNP
Nurse Practitioner (Family)
601 STATE ROUTE 664 N
LOGAN, OH 43138
Hocking County (740) 380-8000
MRS. DENISE KIAMY RDN, LD
Dietitian, Registered
601 STATE ROUTE 664 N
LOGAN, OH 43138
Hocking County (740) 380-8242
DAVID M. VAZIRI MD
Orthopaedic Surgery
601 STATE ROUTE 664 N
LOGAN, OH 43138
Hocking County (740) 380-8140
KAITLIN E. ANGLE APRN-CNP
Nurse Practitioner
601 STATE ROUTE 664 N
LOGAN, OH 43138
Hocking County (740) 380-8000
TERESA LYNN JORDAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
601 STATE ROUTE 664 N
LOGAN, OH 43138
Hocking County (740) 380-8410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgardo Rivera's NPI number?

The NPI number for Edgardo Rivera is 1619928082. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Edgardo Rivera located?

Edgardo Rivera practices at 601 State Route 664 N, Logan, OH 43138. The listed phone number is (740) 380-8000.

What is Edgardo Rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Edgardo Rivera was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.