Provider Demographics
NPI:1558552984
Name:RIVERVIEW ANESTHESIOLOGISTS, PC
Entity Type:Organization
Organization Name:RIVERVIEW ANESTHESIOLOGISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RADEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:224-880-6563
Mailing Address - Street 1:PO BOX 7004
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46207-7004
Mailing Address - Country:US
Mailing Address - Phone:224-880-6563
Mailing Address - Fax:317-776-7280
Practice Address - Street 1:395 WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1425
Practice Address - Country:US
Practice Address - Phone:317-770-2800
Practice Address - Fax:317-776-7920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200043440Medicaid
IN316990Medicare PIN