RIVERA MEDICAL, LLC (NPI# 1649574518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649574518 |
| Entity Type | Organization |
| Organization Name | RIVERA MEDICAL, LLC |
| Practice Address |
1110 Mulliken St Carlyle IL 62231-1233 |
| Practice Telephone | 6185943613 |
| Practice Fax Number | 6185944799 |
| Mailing Telephone | 6185943613 |
| Mailing Fax Number | 6185944799 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | MRS. LISA R RIVERA (OFFICE MANAGER) |
| Authorized Official Telephone | 6185943613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 036096480 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036096480 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467756338 | Rivera Medical, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2011-01-06 |
| Street Address |
1110 MULLIKEN ST |
| City | CARLYLE |
| State | IL |
| Zip Code | 62231-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372605 | Christopher John Rivera | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2005-08-02 |
| 1780047944 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Clinic/Center | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2016-04-04 |
| 1467756338 | Rivera Medical, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2011-01-06 |
| 1689883035 | Rivera Medical Office, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2007-05-22 |
| 1114073756 | Rivera Medical Office, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2007-01-26 |
| 1427043132 | Michael Cue Rivera | Nurse Practitioner | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013140532 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1950 Franklin, Carlyle, IL 62231 | 2009-09-01 |
| 1881768661 | Sidney Darryl Wessol | Dentist | 550 8th Street, Carlyle, IL 62231 | 2006-11-20 |
| 1700814704 | Clinton County | Registered Nurse | 930 Fairfax St, Carlyle, IL 62231 | 2006-06-29 |
| 1083816540 | Carlyle Cu Sch Dist 1 | Local Education Agency (LEA) | 1400 13th St, Carlyle, IL 62231-1011 | 2007-06-05 |
| 1831315118 | Carlyle Healthcare Center, Inc. | Assisted Living Facility | 1070 6th St., Carlyle, IL 62231-1246 | 2007-04-17 |
| 1326297854 | Greenville Rehab & Pain Clinic | Chiropractor | 2111 W Lake Dr, Carlyle, IL 62231-1269 | 2008-09-09 |
| 1255678769 | Andrew Joseph Hall | Chiropractor | 2111 W Lake Dr, Carlyle, IL 62231-1269 | 2013-01-04 |
| 1376804534 | Amanda Beth Boeing | Social Worker | 811 18th St, Carlyle, IL 62231-1317 | 2012-06-05 |
| 1124013107 | Deanna Fae Ducomb | Dermatology | 1210 Jefferson St, Carlyle, IL 62231-1323 | 2005-09-15 |
| 1912056375 | Virginia Middendorff | Speech-Language Pathologist | 1090 Jefferson St, Carlyle, IL 62231-1426 | 2007-01-08 |
| Find all providers in zip 62231 | ||||
| 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 |
|---|---|---|---|---|
| 1023070752 | Alberto Butalid | Internal Medicine | 14505 State Route 127, Carlyle, IL 62231-6485 | 2006-04-06 |
| 1659372605 | Christopher John Rivera | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2005-08-02 |
| 1467756338 | Rivera Medical, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2011-01-06 |
| 1689883035 | Rivera Medical Office, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2007-05-22 |
| 1114073756 | Rivera Medical Office, LLC | Internal Medicine | 1110 Mulliken St, Carlyle, IL 62231-1233 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
| 1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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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.