RIVERSIDE SPINE & PAIN PHYSICIANS, LLC (NPI# 1477922920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477922920 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE SPINE & PAIN PHYSICIANS, LLC |
| Practice Address |
2453 Us Highway 17 Suite G Richmond Hill GA 31324-5959 |
| Mailing Address |
7207 Golden Wings Rd Suite 100 Jacksonville FL 32244-3324 |
| Practice Telephone | 9043891010 |
| Practice Fax Number | 9043891082 |
| Mailing Telephone | 9043891010 |
| Mailing Fax Number | 9043891082 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | DR. STEPHEN SCOTT KRAMARICH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9043891010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
| 1124494398 | Riverside Spine & Pain Physicians, LLC | Specialist | 7751 Baymeadows Rd E, Suite 103, Jacksonville, FL 32256-5836 | 2015-08-11 |
| 1669848834 | Riverside Spine & Pain Physicians, LLC | Specialist | 2386 Dunn Ave, Suite 111, Jacksonville, FL 32218-4750 | 2015-08-11 |
| 1659747822 | Riverside Spine & Pain Physicians, LLC | Specialist | 1577 Roberts Dr, Suite 326, Jacksonville Beach, FL 32250-3264 | 2015-08-11 |
| 1649646811 | Riverside Spine & Pain Physicians, LLC | Specialist | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-6355 | 2015-08-11 |
| 1619343886 | Riverside Spine & Pain Physicians, LLC | Specialist | 12078 San Jose Blvd, Suite 2, Jacksonville, FL 32223-8670 | 2015-08-11 |
| 1710353982 | Riverside Spine & Pain Physicians, LLC | Specialist | 105 Mariner Health Way, Unit 203, St Augustine, FL 32086-3251 | 2015-08-11 |
| 1982070157 | Riverside Spine & Pain Physicians, LLC | Specialist | 3622 Madaca Ln, Tampa, FL 33618-2057 | 2015-08-11 |
| 1639208648 | Riverside Spine & Pain Physicians, LLC | Specialist | 7207 Golden Wings Road, Suite 100, Jacksonville, FL 32244-2004 | 2007-03-05 |
| Street Address |
2453 US HIGHWAY 17 SUITE G |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-5959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447249289 | Amy K. Pearson | Anesthesiology | 2453 Us Highway 17, Suite G, Richmond Hill, GA 31324-5959 | 2005-10-14 |
| 1942670658 | Riverside Spine Georgia | Pain Medicine | 2453 Us Highway 17, Suite G, Richmond Hill, GA 31324-5959 | 2015-10-07 |
| 1831493048 | Amy Pearson, P.C. | Specialist | 2453 Us Highway 17, Suite G, Richmond Hill, GA 31324-5959 | 2011-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225534 | Takara N Harris | Specialist | 3766 Us Highway 17 Ste 102, Richmond Hill, GA 31324-8872 | 2019-03-25 |
| 1144712308 | Kathleen Reyes | Specialist | 12911 Jamaica Ave Apt 1r, Richmond Hill, NY 11418-2693 | 2018-06-04 |
| 1588170427 | Paul Desir | Specialist | 9124 117th St, Richmond Hill, NY 11418-3113 | 2017-12-14 |
| 1073974549 | Stephanie Lopez | Specialist | 9105 118th St, Richmond Hill, NY 11418-3132 | 2016-03-11 |
| 1477930998 | Johanna Hernandez | Specialist | 8767 113th St, Richmond Hill, NY 11418-2437 | 2015-05-05 |
| 1407240617 | Shaina Dupuy | Specialist | 8743 110th St Apt 2, Richmond Hill, NY 11418-2308 | 2015-03-25 |
| 1922424720 | Maria Sobeida Vicioso | Specialist | 10231 92nd Ave, Richmond Hill, NY 11418-2906 | 2014-03-17 |
| 1114357464 | Paysach J Krohn | Specialist | 11709 85th Ave, Richmond Hill, NY 11418-1804 | 2013-11-24 |
| 1922435429 | Richmond Hill Sleep Center Inc | Specialist | 8715 115th St, Richmond Hill, NY 11418-2410 | 2013-09-30 |
| 1255695193 | Carlos Castillo | Specialist | 13111 Kew Gardens Rd Apt 4c, Richmond Hill, NY 11418-1941 | 2012-06-26 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
Please comment or provide details below to improve the information on RIVERSIDE SPINE & PAIN PHYSICIANS, LLC.
| 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.