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NPI Code Detail

MEDICARE: GERIMED, INC

MEDICARE: GERIMED, 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
1207Q00000XFamily Medicine Physician
2207QG0300XGeriatric Medicine (Family Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942255229
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERIMED, INC
Provider Business Mailing Address
First Line : PO BOX 23128
Second Line :
City : CINCINNATI
State : OH
Zip : 45223-0128
Country : US
Telephone Number : 513-675-9439
Fax Number : 513-793-1032
Provider Business Practice Location Address
First Line : 4900 COOPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-6915
Country : US
Telephone Number : 513-793-3362
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. EMMANUEL V RIVERA
Credential : MD
Telephone Number : 513-675-9439
Provider Enumeration Date : 05/24/2006
Last Update Date : 04/20/2026

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Directions to “GERIMED, INC ” Practice Location

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