RICARDO ARSENIO REVILLA (NPI# 1326255142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326255142 |
| Entity Type | Individual |
| Full Name | RICARDO ARSENIO REVILLA |
| Credential | MD |
| Practice Address |
340 Nw Commerce Dr Lake City FL 32055-4709 |
| Mailing Address |
806 Lawton Dr El Dorado AR 71730-6769 |
| Practice Telephone | 3867199334 |
| Mailing Telephone | 8798148665 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E-5192 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE SHIELD | 5N986 | 01 |
| Street Address |
340 NW COMMERCE DR |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336134386 | Sterling Emergency Services of Florida, Pa | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2005-09-15 |
| 1598362006 | Alison Leigh Dowell | Registered Nurse | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-10-07 |
| 1639783889 | Caroline Collins | General Acute Care Hospital | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-09-04 |
| 1437760915 | Rachel Lauren Tucker | Nurse Practitioner | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-08-10 |
| 1730707589 | Dustin Michael Crovo | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-07-08 |
| 1184249732 | Christina Nichole Thomas | Nurse Practitioner | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-06-10 |
| 1700408804 | Brandon Lewis Keys | Registered Nurse | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-05-12 |
| 1942822283 | Leanna Brooke Stebbins | Nurse Practitioner | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-05-09 |
| 1982255923 | Michelle A Faller | Nurse Practitioner | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2019-09-20 |
| 1609435239 | Kathy Denese Bass | Nurse Practitioner | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801959697 | Anthony R. Ellis | Emergency Medicine | 3478 Inwood Ave, Lake City, IA 51449-7577 | 2006-12-19 |
| 1821168378 | Joseph Hernandez | Emergency Medicine | 826 Sw Main Blvd Ste 102, Lake City, FL 32025-5742 | 2006-11-09 |
| 1538251186 | North Florida Emergency Physicians | Emergency Medicine | 368 Ne Franklin Street, Lake City, FL 32055 | 2006-09-29 |
| 1467471201 | Carlos H Castellon | Emergency Medicine | 152 Nw Otter Ct, Lake City, FL 32055-7252 | 2006-07-19 |
| 1821028408 | Dean Silverberg | Emergency Medicine | North Florida/south Georgia Veterans Health System, 619 South Marion Avenue, Lake City, FL 32025 | 2006-07-03 |
| 1457396434 | Paul Richard Schriever | Emergency Medicine | 368 Ne Franklin St, Lake City, FL 32055-3088 | 2006-06-17 |
| 1053369595 | Beuford Durmon | Emergency Medicine | 700 N Henson St, Lake City, CO 81235 | 2006-05-05 |
| 1689665341 | James Charles Comstock | Emergency Medicine | 3420 Inwood Ave, Lake City, IA 51449-7577 | 2005-11-02 |
| 1336134386 | Sterling Emergency Services of Florida, Pa | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2005-09-15 |
| 1730707589 | Dustin Michael Crovo | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-07-08 |
| Find all providers in LAKE CITY | ||||
Please comment or provide details below to improve the information on RICARDO ARSENIO REVILLA.
| 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.