ROGER RIVERS (NPI# 1871917278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871917278 |
| Entity Type | Individual |
| Full Name | ROGER RIVERS |
| Practice Address |
16428 Kingston Ct Tyler TX 75703-7335 |
| Practice Telephone | 9036177133 |
| Practice Fax Number | 9037072203 |
| Mailing Telephone | 9036177133 |
| Mailing Fax Number | 9037072203 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
16428 KINGSTON CT |
| City | TYLER |
| State | TX |
| Zip Code | 75703-7335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698186 | Momentum Dme, LLC | Durable Medical Equipment & Medical Supplies | 121 S Broadway Ave Ste 606, Tyler, TX 75702-7281 | 2020-07-31 |
| 1174166615 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 2961 Elkton Trl Ste D, Tyler, TX 75703-0675 | 2019-10-28 |
| 1245777895 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 450 S Southeast Loop 323, Tyler, TX 75702-8646 | 2017-01-20 |
| 1285006544 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2151 Frankston Hwy, Tyler, TX 75701-3808 | 2015-10-27 |
| 1457722779 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 5976 Old Jacksonville Hwy, Tyler, TX 75703-0582 | 2015-10-13 |
| 1033598065 | Nanovibronix, Ltd | Durable Medical Equipment & Medical Supplies | 977 Pruitt Pl, Tyler, TX 75703-1153 | 2015-05-22 |
| 1417211525 | Fredrick J. Platt, Dds, Pllc | Durable Medical Equipment & Medical Supplies | 2020 Lindbergh Dr, Tyler, TX 75703-1714 | 2012-07-03 |
| 1033490776 | Psi Premier Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 1825 Troup Hwy, Tyler, TX 75701-5870 | 2011-09-08 |
| 1932495652 | Trinity Mobility, LLC | Durable Medical Equipment & Medical Supplies | 1007 West Gentry Parkway, Tyler, TX 75702 | 2011-06-21 |
| 1962791475 | Verdean E Grigsby | Durable Medical Equipment & Medical Supplies | 1107 Clyde Dr, Tyler, TX 75701-8025 | 2011-04-05 |
| Find all providers in TYLER | ||||
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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.