RIVERSIDE MEDICAL INC (NPI# 1659934230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659934230 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE MEDICAL INC |
| Practice Address |
105 Lee Parkway Dr Ste C Chattanooga TN 37421-6708 |
| Mailing Address |
1019 Town Dr Highland Heights KY 41076-9114 |
| Practice Telephone | 4234171310 |
| Practice Fax Number | 4232089979 |
| Mailing Telephone | 8594418876 |
| Mailing Fax Number | 8594415850 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | GREGORY J CRAWFORD (CEO) |
| Authorized Official Telephone | 8594418876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1452119 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295999027 | Riverside Medical Inc | Durable Medical Equipment & Medical Supplies | 19 Northstar Drive, Ste # D, Jackson, TN 38305 | 2008-07-10 |
| 1962404129 | Riverside Medical Inc | Durable Medical Equipment & Medical Supplies | 275 Eureka St, Savannah, TN 38372-3033 | 2005-06-01 |
| 1811918089 | Riverside Medical Inc | Dietitian, Registered | 401 Market St, Suite 1000, Steubenville, OH 43952-2881 | 2006-07-22 |
| Street Address |
105 LEE PARKWAY DR STE C |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649830142 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 6234 Perimeter Dr Ste A104, Chattanooga, TN 37421-3664 | 2019-06-17 |
| 1336538321 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 5113 Highway 58, Suite 103, Chattanooga, TN 37416-1665 | 2015-01-14 |
| 1942533476 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 7405 Shallowford Rd Ste 190, Chattanooga, TN 37421 | 2009-09-16 |
| 1386881555 | Hi-tech Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1271 N Holtzclaw Ave, Suite 104, Chattanooga, TN 37406-3025 | 2009-01-09 |
| 1184872210 | Medicor Healthcare Inc | Durable Medical Equipment & Medical Supplies | 6234 Perimeter Dr, Chattanooga, TN 37421-3662 | 2008-09-03 |
| 1891950028 | Grace Ancillary Services, LLC | Durable Medical Equipment & Medical Supplies | 7201 Shallowford Rd, Suite 200, Chattanooga, TN 37421-2780 | 2008-07-28 |
| 1093898140 | Mms Knoxville Inc | Durable Medical Equipment & Medical Supplies | 400 Chickamauga Rd # A, Chattanooga, TN 37421-5166 | 2006-10-23 |
| 1043262280 | Scenic City Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 4301 Founders Way, Chattanooga, TN 37416-3680 | 2006-05-16 |
| 1245291632 | Professional Respiratory Services | Durable Medical Equipment & Medical Supplies | 2180 Stein Dr, Suite 106, Chattanooga, TN 37421-7219 | 2006-03-28 |
| 1356314454 | Access Durable Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2006-02-09 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on RIVERSIDE MEDICAL INC.
| 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.