RIVERSIDE SPINE & PAIN PHYSICIANS, LLC (NPI# 1710353982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710353982 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE SPINE & PAIN PHYSICIANS, LLC |
| Practice Address |
105 Mariner Health Way Unit 203 St Augustine FL 32086-3251 |
| 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 | 2015-08-11 |
| 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 |
| 1619343886 | Riverside Spine & Pain Physicians, LLC | Specialist | 12078 San Jose Blvd, Suite 2, Jacksonville, FL 32223-8670 | 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 |
105 MARINER HEALTH WAY UNIT 203 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750665808 | Summer A Snoek | Physical Therapist | 105 Mariner Health Way, Ste 213, St Augustine, FL 32086-3251 | 2011-10-07 |
| 1548407521 | Saint Augustine Rehabilitation Specialists LLC | Occupational Therapist | 105 Mariner Health Way, Ste 213, St Augustine, FL 32086-3251 | 2009-01-13 |
| 1013130434 | Bridget Leanne Calkins | Physical Therapist | 105 Mariner Health Way, Ste 213, St Augustine, FL 32086-3251 | 2007-04-11 |
| 1023147329 | Erica J Kiernan | Physical Therapist | 105 Mariner Health Way, Ste 213, St Augustine, FL 32086-3251 | 2007-03-04 |
| 1083751093 | Amanda Kay Griener | Physical Therapist | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 | 2007-01-31 |
| 1982631503 | Lina Lee Feaster | Family Medicine | 105 Mariner Health Way, Ste 207, St Augustine, FL 32086-3251 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| 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 |
|---|---|---|---|---|
| 1609158344 | Monica Mcnally | Specialist | 109 Hammock Cir, St Augustine, FL 32084-1754 | 2011-09-19 |
| 1619267671 | Ancient City Children's Therapy, LLC | Specialist | 367 Gianna Way, St Augustine, FL 32086-3858 | 2011-04-12 |
| 1700184892 | Johannie Garcia | Specialist | 910 S. Winterhawk Dr. # 107, St Augustine, FL 32086-3858 | 2011-03-14 |
| 1124291885 | Daniel Aaron Weinberg | Specialist | 200 San Sebastian Vw Ste 2102, St Augustine, FL 32084 | 2008-04-02 |
| 1013187574 | Debbie's Day Spa & Salon | Specialist | 403 Anastasia Blvd, St Augustine, FL 32080-4508 | 2008-03-11 |
| 1386868693 | Edward H Scarpitti | Specialist | 17 St Johns Medical Park Dr., St Augustine, FL 32086-4331 | 2007-04-11 |
| 1295870830 | Paul D Jayachandra M D P A | Specialist | 1680 Osceola Elementary School Road, Suite A, St Augustine, FL 32084 | 2007-02-21 |
| 1285608299 | Daniel A Warner | Specialist | 1100 Plantation Island Dr S Ste 230, St Augustine, FL 32080 | 2006-02-15 |
| 1285613315 | John Edward Prioleau | Specialist | 400 Health Park Blvd Ste 300, St Augustine, FL 32086-5784 | 2006-01-17 |
| 1750382487 | Paul W Hund IIi | Specialist | 1400 Us Highway 1 S, St Augustine, FL 32084-4211 | 2005-08-03 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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.