RIVERSIDE MEDICAL CENTER, PA (NPI# 1093884439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093884439 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE MEDICAL CENTER, PA |
| Other Organization Name | RIVERSIDE MEDICAL CENTER |
| Practice Address |
863 N Cocoa Blvd Cocoa FL 32922-7510 |
| Mailing Address |
3206 S Hopkins Ave Suite 87 Titusville FL 32780-5667 |
| Practice Telephone | 3212642345 |
| Practice Fax Number | 3217358882 |
| Mailing Telephone | 3212642345 |
| Mailing Fax Number | 3217358882 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | DR. JANET E MILEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3212642345 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 207RC0200X | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS INSURANCE | 03280 | 01 |
| FL | AETNA INSURANCE | 7276274 | 01 |
| FL | CIGNA INSURANCE | 7883229001 | 01 |
| Other Name | Type Code |
|---|---|
| Riverside Medical Center | Doing Business As Name - Organization |
| Street Address |
863 N COCOA BLVD |
| City | COCOA |
| State | FL |
| Zip Code | 32922-7510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700181534 | Mykim Hracho | Speech-Language Pathologist | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | 2011-01-26 |
| 1700103744 | Alyssa Rebecca Drake | Speech-Language Pathologist | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | 2010-04-30 |
| 1922330729 | Amanda Chau Mckee | Occupational Therapist | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | 2010-02-03 |
| 1487985420 | Andrea Mize | Speech-Language Pathologist | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | 2010-01-14 |
| 1073746335 | Cathleen Ann Sarkozy | Developmental Therapist | 863 N Cocoa Blvd, Cocoa, FL 32922 | 2009-09-02 |
| 1114157534 | Marguerite C Cox | Speech-Language Pathologist | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | 2009-07-20 |
| 1306076724 | Lauren Brooke Lopez | Occupational Therapist | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | 2009-07-20 |
| 1083857981 | Advanced Therapy Inc | Early Intervention Provider Agency | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | 2009-04-08 |
| 1518189299 | Janet Elaine Miley | Specialist | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| 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 |
|---|---|---|---|---|
| 1851401871 | Charlene Jarvis | Specialist | 405 Florida Ave, Cocoa, FL 32922-7929 | 2006-08-30 |
| 1013234988 | Brevard Physicians Pa | Specialist | 7137 N Us Highway 1, Cocoa, FL 32927-5094 | 2010-04-30 |
| 1437308574 | Vickie Janell Allen | Specialist | 405 Florida Ave, 2nd Floor, Cocoa, FL 32922-7929 | 2008-09-12 |
| 1518189299 | Janet Elaine Miley | Specialist | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | 2007-05-03 |
| 1104832898 | Jennifer Marie Jackson | Specialist | 1553 N Cocoa Blvd, Cocoa, FL 32922-6933 | 2006-08-01 |
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| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1417566712 | Angela Berry Williams | Specialist | 5175 W Atlantic Ave Ste C, Delray Beach, FL 33484-8101 | 2020-07-23 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1316562911 | A School 4 Legends LLC | Specialist | 11565 Se 57th Ct, Belleview, FL 34420-4361 | 2020-06-10 |
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1811518384 | Lori Rubin | Specialist | 8181 W Broward Blvd Ste 204, Plantation, FL 33324-2049 | 2020-05-06 |
| 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.