RIVERSIDE FAMILY PRACTICE, PC (NPI# 1245286210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245286210 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE FAMILY PRACTICE, PC |
| Practice Address |
3129 Blattner Dr Cape Girardeau MO 63703-6364 |
| Practice Telephone | 5733350166 |
| Practice Fax Number | 5733357942 |
| Mailing Telephone | 5733350166 |
| Mailing Fax Number | 5733357942 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES E PALEN (OWNER) |
| Authorized Official Telephone | 5733350166 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | 2000160642 | MO | Allopathic & Osteopathic Physicians |
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2000160642 | MO | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 32836 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 132330 | 01 |
| MO | RAILROAD GROUP NUMBER | CI5917 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730106196 | Riverside Family Practice, PC | Internal Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2006-07-15 |
| Street Address |
3129 BLATTNER DR |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114973161 | James E Palen | Family Medicine | 3129 Blattner Dr, Cape Girardeau, MO 63703-6364 | 2006-05-25 |
| 1649747403 | Cassandra Lashea Doss | Nurse Practitioner | 3129 Blattner Dr, Cape Girardeau, MO 63703-6364 | 2018-10-30 |
| 1164932448 | Amanda Leann Wareing | Nurse Practitioner | 3129 Blattner Dr, Cape Girardeau, MO 63703-6364 | 2017-10-02 |
| 1255610150 | Riverside Family Medicine PC | Family Medicine | 3129 Blattner Dr, Cape Girardeau, MO 63703-6364 | 2011-08-09 |
| 1598902728 | James Richard Palen | Family Medicine | 3129 Blattner Dr, Cape Girardeau, MO 63703-6364 | 2009-01-09 |
| 1023145125 | Lori A Moyers | Family Medicine | 3129 Blattner Dr, Cape Girardeau, MO 63703-6364 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942337522 | Mark Jeffery Mcnabb | Internal Medicine | 3260 Lexington Ave, Cape Girardeau, MO 63701-2609 | 2007-02-28 |
| 1598853368 | Vishnu Subramani | Internal Medicine | 2909 Independence, Cape Girardeau, MO 63703-5044 | 2006-10-10 |
| 1609897941 | Louis Kouo | Internal Medicine | 3117 Blattner Drive, Cape Girardeau, MO 63703-6364 | 2006-07-22 |
| 1447297155 | Carmelita M Hudson-kane | Internal Medicine | 465 S Mount Auburn Rd, Suite 103, Cape Girardeau, MO 63703-4926 | 2006-06-01 |
| 1124098728 | John J Russell | Internal Medicine | 1610 N Kings Highway St, Suite 304, Cape Girardeau, MO 63701-2196 | 2006-01-25 |
| 1679562326 | P A George | Internal Medicine | 2516 Palomino Dr, Cape Girardeau, MO 63701-1894 | 2005-10-17 |
| 1184616120 | Joy L. Johnson | Internal Medicine | 1702 N. Kingshighway, Cape Girardeau, MO 63701-2122 | 2005-08-16 |
| 1659376234 | Robert Elvie Perry | Internal Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2005-06-20 |
| 1851742092 | Sajjad Ali | Internal Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2016-06-29 |
| 1598113722 | Saint Francis Medical Center | Internal Medicine | 211 Saint Francis Dr, Cape Girardeau, MO 63703 | 2016-05-27 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on RIVERSIDE FAMILY PRACTICE, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.