Provider Demographics
NPI:1538154182
Name:RIVERHILLS MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:RIVERHILLS MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAREL
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHOVITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-212-5385
Mailing Address - Street 1:200 NORTHLAND BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3604
Mailing Address - Country:US
Mailing Address - Phone:523-672-4128
Mailing Address - Fax:513-672-4479
Practice Address - Street 1:85 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-1793
Practice Address - Country:US
Practice Address - Phone:859-212-5385
Practice Address - Fax:859-212-8575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2384736Medicaid
OH2384727Medicaid
KY65936288Medicaid
KY78903598Medicaid
KY78903598Medicaid