Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Breast Specialists LLC

Organization Surgery Physician · NPI 1528247665

Riverside Breast Specialists LLC is a Surgery Physician in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3555 Olentangy River Rd Ste 2020
Columbus, OH 43214-3912
Phone: (614) 262-9922
Fax: (614) 262-9927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35-03-9979-L (OH)

Record details

NPI number1528247665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Lilly — President · (614) 262-9922
NPI enumeratedOctober 25, 2007
Last updated in NPPESOctober 25, 2007
Mailing address3555 Olentangy River Rd, Suite 2020, Columbus, OH 43214-3912

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