MEDICARE: RIVERSIDE CRITICAL CARE PHYSICIANS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1881732444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERSIDE CRITICAL CARE PHYSICIANS, INC

Provider Business Mailing Address
First Line	:	PO BOX 951071
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0005
Country	:	US
Telephone Number	:	614-442-2400
Fax Number	:	614-442-2403

Provider Business Practice Location Address
First Line	:	1087 DENNISON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3201
Country	:	US
Telephone Number	:	614-442-2400
Fax Number	:	614-442-2403

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VICTORIA N RUFF
Credential	:	MD
Telephone Number	:	614-566-5000

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	08/22/2020

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