MICHAEL V RIESBERG MD OTOLARYNGOLOGY & PERFORMING ARTS MEDICINE (NPI# 1497990972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497990972 |
| Entity Type | Organization |
| Organization Name | MICHAEL V RIESBERG MD OTOLARYNGOLOGY & PERFORMING ARTS MEDICINE |
| Practice Address |
4900 N. Davis Highway Pensacola FL 32503-2344 |
| Mailing Address |
Po Box 1759 Department 952 Houston TX 77251-1759 |
| Practice Telephone | 8504760700 |
| Practice Fax Number | 8504764300 |
| Mailing Telephone | 7135545304 |
| Mailing Fax Number | 7135545324 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2009-01-22 |
| Authorized Official Name | MICHAEL V RIESBER (PRESIDENT) |
| Authorized Official Telephone | 8504760700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 44913 | 01 |
| Street Address |
4900 N. DAVIS HIGHWAY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
| 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 |
| 1407831191 | Michael Van Riesberg | Otolaryngology | 2411 Executive Plaza Rd, Pensacola, FL 32504-8269 | 2005-12-14 |
| 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.