RIVERSIDE NEUROLOGY LLC (NPI# 1013496405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013496405 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE NEUROLOGY LLC |
| Practice Address |
560 Riverside Dr Ste B204 Salisbury MD 21801-4703 |
| Practice Telephone | 4105465722 |
| Practice Fax Number | 4105465851 |
| Mailing Telephone | 4105465722 |
| Mailing Fax Number | 4105465851 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | DANIAL MCDONALD (OPERATIONS) |
| Authorized Official Telephone | 4105465722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
560 RIVERSIDE DR STE B204 |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245710631 | Riverside Neurology Associates LLC | Psychiatry & Neurology | 560 Riverside Dr Ste B204, Salisbury, MD 21801-4703 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629011481 | Sheila M. Smalls-stokes | Psychiatry & Neurology | 1910 Jake Alexander Blvd W Ste 102, Salisbury, NC 28147-1163 | 2006-06-13 |
| 1164417499 | Robert Mark Paschall | Psychiatry & Neurology | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2005-09-13 |
| 1306461256 | Tidalhealth Specialty Care, LLC | Psychiatry & Neurology | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2020-06-16 |
| 1689210585 | Novant Medical Group, Inc. | Psychiatry & Neurology | 612 Mocksville Ave, Salisbury, NC 28144 | 2019-11-26 |
| 1891352167 | James J. Morgan Md Phd | Psychiatry & Neurology | 220 Tilghman Rd, Salisbury, MD 21804-1921 | 2019-05-22 |
| 1245710631 | Riverside Neurology Associates LLC | Psychiatry & Neurology | 560 Riverside Dr Ste B204, Salisbury, MD 21801-4703 | 2018-08-15 |
| 1891134219 | Adam B Lewis | Psychiatry & Neurology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2013-06-19 |
| 1629328091 | Riverside Infusion Center LLC | Psychiatry & Neurology | 560 Riverside Drive, Suite B204, Salisbury, MD 21801-4700 | 2012-09-13 |
| 1003195355 | Patricia M Moore | Psychiatry & Neurology | 1910 Jake Alexander Blvd W Ste 102, Salisbury, NC 28147 | 2011-08-04 |
| 1881900652 | Channaiah Srikanth Mysore | Psychiatry & Neurology | 100 E Carroll St, Salisbury, MD 21801 | 2010-08-31 |
| Find all providers in SALISBURY | ||||
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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.