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

Mr. Gregory J Rivenbark, CAA

Individual provider Anesthesiologist Assistant · NPI 1164089306

Mr. Gregory J Rivenbark, CAA is an Anesthesiology Assistant in Painesville, Ohio. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2019, 7 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
OH
In the registry since
2019

Practice location Address checks out

7757 Auburn Rd Ste 15
Painesville, OH 44077-9604
Phone: (440) 350-0832
Show map & directions

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

Additional practice locations (1)

  • 7590 Auburn Rd, Painesville, OH 44077-9176 — (440) 350-0832

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 67000350 (OH)

Record details

NPI number1164089306
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020
Mailing address7757 Auburn Rd Ste 15, Painesville, OH 44077-9604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Painesville