DR. MICHAEL VAN RIESBERG (NPI# 1407831191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407831191 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL VAN RIESBERG |
| Credential | M.D. |
| Practice Address |
2411 Executive Plaza Rd Pensacola FL 32504-8269 |
| Practice Telephone | 8504760700 |
| Practice Fax Number | 8504764300 |
| Mailing Telephone | 8504760700 |
| Mailing Fax Number | 8504764300 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME 75687 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2411 EXECUTIVE PLAZA RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235211335 | Issa E. Ephtimios | Internal Medicine | 2411 Executive Plaza Rd, Suite A, Pensacola, FL 32504-8286 | 2006-10-19 |
| 1629082698 | Emerald Coast Therapy Centers, Inc. | Clinic/Center | 2411 Executive Plaza Rd, Pensacola, FL 32504-8269 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278318 | Donald Ralph Todd Md | Otolaryngology | 5147 N 9th Ave Ste 325c, Pensacola, FL 32504-8770 | 2014-05-28 |
| 1053739391 | Kevin Jonathan Caceres | Otolaryngology | 5147 N 9th Ave Ste 325a, Pensacola, FL 32504-8700 | 2014-04-03 |
| 1376787739 | Paula Pyle Md, LLC | Otolaryngology | 975 Royce St, Pensacola, FL 32503-2463 | 2009-04-28 |
| 1497990972 | Michael V Riesberg Md Otolaryngology & Performing Arts Medicine | Otolaryngology | 4900 N. Davis Highway, Pensacola, FL 32503-2344 | 2008-12-11 |
| 1235106733 | Ent Associates of N.w. Florida, Pa | Otolaryngology | 4616 N Davis Hwy, Pensacola, FL 32503-2337 | 2006-03-02 |
| 1447230354 | William Buren Clark | Otolaryngology | 8331 N Davis Hwy, Pensacola, FL 32514 | 2006-01-18 |
| 1144532383 | Thomas Allen Babcock | Otolaryngology | 1717 N E St Ste 239, Pensacola, FL 32501-6390 | 2010-07-03 |
| 1477788719 | Joshua Franklin Dixon | Otolaryngology | 1717 N E St, Suite239, Pensacola, FL 32501-6339 | 2009-05-15 |
| 1356548531 | Alan Richard Grimm | Otolaryngology | 6000 W Highway 98, Naval Hospital Pensacola, Pensacola, FL 32512-0003 | 2007-06-29 |
| 1063621159 | Hilliary White | Otolaryngology | 1717 N E St, Suite 239, Pensacola, FL 32501-6339 | 2007-05-22 |
| Find all providers in PENSACOLA | ||||
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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.