MR. STEPHEN PAUL RIVARD M.D. NPI 1962416321

NPI Information

NPI: 1962416321
Provider Name: MR. STEPHEN PAUL RIVARD, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
22285 N. PEPPER RD.
BLDG 100, SUITE 105 ILLINOIS VEIN SPECIALISTS
LAKE BARRINGTON, IL
ZIP 60010
Phone: (847) 277-9100
Get Directions

MR. Stephen Paul Rivard, M.D. is a specialist in Lake Barrington, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Stephen Paul Rivard, M.D. NPI is 1962416321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22285 N. PEPPER RD.
BLDG 100, SUITE 105 ILLINOIS VEIN SPECIALISTS
LAKE BARRINGTON, IL
ZIP 60010-539
Phone: (847) 277-9100
Fax: (847) 277-9110

The NPI 1962416321 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 3/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	036064684	ILLINOIS	No
2	174400000X	Specialist		036064684	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036064684	MEDICAID	ILLINOIS
2	C43086	MEDICARE UPIN
3	930009892	OTHER		MEDICARE RR
4	C43086	MEDICARE UPIN	ILLINOIS
5	P08938	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »