RIVERSIDE SPINE & PAIN PHYSICIANS, LLC (NPI# 1619343886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619343886 |
Entity Type | Organization |
Organization Name | RIVERSIDE SPINE & PAIN PHYSICIANS, LLC |
Practice Address |
12078 San Jose Blvd Suite 2 Jacksonville FL 32223-8670 |
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 | 2015-08-11 |
Last Update Date | 2017-01-20 |
Authorized Official Name | 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 |
1477922920 | Riverside Spine & Pain Physicians, LLC | Specialist | 2453 Us Highway 17, Suite G, Richmond Hill, GA 31324-5959 | 2015-09-15 |
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 |
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 |
12078 SAN JOSE BLVD SUITE 2 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32223-8670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881736064 | Marion C Eldridge Jr. | Dentist | 12078 San Jose Blvd, Suite 3, Jacksonville, FL 32223-1842 | 2007-02-13 |
1285841908 | Christopher Marc Geric | Dentist | 12078 San Jose Blvd, Suite 3, Jacksonville, FL 32223-8670 | 2007-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
Find all providers in zip 32223 |
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 |
---|---|---|---|---|
1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
1437620986 | Nicole Azaan | Specialist | 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 | 2018-12-10 |
1598251910 | Allionz LLC | Specialist | 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 | 2018-07-09 |
1093236531 | Leah F Friedman | Specialist | 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 | 2017-07-06 |
1609301993 | Oakleaf Injury and Pain Center LLC | Specialist | 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 | 2017-04-25 |
1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
1235525239 | Elizabeth Wehr | Specialist | 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 | 2015-04-07 |
1053705236 | Orthowilmington, Pa | Specialist | 3382 Henderson Dr, Jacksonville, NC 28546-5230 | 2015-03-25 |
1295156941 | Southeast Orthopedic Specialists, Inc. | Specialist | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2013-12-26 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32223 |
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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.