Mr. Dennis W Rivenburgh, PHYSICIANASSTISTANT
Mr. Dennis W Rivenburgh, PHYSICIANASSTISTANT is a Physician Assistant in Baltimore, Maryland. Qualified in 1981, 45 years ago. Practices with Johns Hopkins University, a 2,855-clinician group. Licensed in Florida and Maryland.
- Years since qualifying
- 45
- Licensed in
- FL, MD
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
5051 Greenspring AveBaltimore, MD 21209-4354
Phone: (410) 601-9515
Fax: (410) 601-8905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence C0004803 (MD) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA3490 (FL) |
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA3490 (FL) |
Record details
| NPI number | 1669454104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSTISTANT |
| Sole proprietor | No |
| NPI enumerated | November 18, 2005 |
| Last updated in NPPES | October 1, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1981 (45 years in practice) |
| Group practice | Johns Hopkins University — 2855 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 6 on file with Medicare |
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