RIVER MEDICAL HEALTHCARE LLC (NPI# 1669957031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669957031 |
| Entity Type | Organization |
| Organization Name | RIVER MEDICAL HEALTHCARE LLC |
| Practice Address |
2119 Highway 82 E Greenville MS 38703-6010 |
| Mailing Address |
Po Box 5368 Greenville MS 38704-5368 |
| Practice Telephone | 6623908992 |
| Mailing Telephone | 6623350183 |
| Mailing Fax Number | 6623357184 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | JOHN L HERZOG SR. (PRESIDENT) |
| Authorized Official Telephone | 6623350183 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2119 HIGHWAY 82 E |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255481958 | Eyedeal Optical Greenville LLC | Optometrist | 2119 Highway 82 E, Greenville, MS 38703-6010 | 2007-01-12 |
| 1174137111 | Franklin Davis | Nurse Practitioner | 2119 Highway 82 E, Greenville, MS 38703-6010 | 2020-09-08 |
| 1801348875 | Hope Williams | Nurse Practitioner | 2119 Highway 82 E, Greenville, MS 38703-6010 | 2016-10-26 |
| 1629408463 | Deniece Russell-mcadory | Nurse Practitioner | 2119 Highway 82 E, Greenville, MS 38703-6010 | 2013-11-14 |
| 1720126592 | Delta Vision Clinic Inc | Optometrist | 2119 Highway 82 E, Greenville, MS 38703-6010 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245744937 | Carolina Healthchoice of Greenville, LLC | General Practice | 274 Commonwealth Dr Ste B, Greenville, SC 29615-4872 | 2017-11-17 |
| 1346608825 | American Family Care, Inc. | General Practice | 101 Paul Stabler Drive, Greenville, AL 36037-0000 | 2016-01-29 |
| 1609240910 | Eating Recovery Center-the Carolinas | General Practice | 12 Maple Tree Court, Suite 101, Greenville, SC 29615-4079 | 2015-11-24 |
| 1083918338 | Advanced Health and Physical Medicine Pllc | General Practice | 504-c Red Banks Rd, Greenville, NC 27858-5766 | 2010-12-30 |
| 1578885364 | St. Francis Physician Services Inc | General Practice | 2 Innovation Dr. Suite 120, Greenville, SC 29607-5262 | 2010-02-19 |
| 1164754487 | Murray Peeler Mckissick | General Practice | 245 Mcdaniel Ave, Greenville, SC 29601-3747 | 2010-02-11 |
| 1285886465 | Dominick Trinca | General Practice | 1440 Highway 1 S, Greenville, MS 38701-7140 | 2008-10-19 |
| 1598977506 | Alan M Peabody | General Practice | 1212 Haywood Road, Bldg 200, Greenville, SC 29615 | 2007-05-03 |
| 1952331662 | Forrest A Pommerenke | General Practice | 1020 Grove Rd, Greenville, SC 29605-4649 | 2006-07-05 |
| 1942230321 | North Hills Medical Center | General Practice | 3904 S Highway 14, Greenville, SC 29615-6138 | 2006-07-03 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on RIVER MEDICAL HEALTHCARE LLC.
| 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.