RIVERSIDE SPINE & PHYSICAL MEDICINE, PC (NPI# 1720407570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720407570 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE SPINE & PHYSICAL MEDICINE, PC |
| Practice Address |
625 N Riverside Dr Clarksville TN 37040-3127 |
| Mailing Address |
121 W Dunbar Cave Rd Clarksville TN 37040-6037 |
| Practice Telephone | 9315429420 |
| Practice Fax Number | 9315429422 |
| Mailing Telephone | 9315429420 |
| Mailing Fax Number | 9315429422 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2017-11-13 |
| Authorized Official Name | DR. DAVID M ALLEN (PRESIDENT) |
| Authorized Official Telephone | 9315429420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | MD28572 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
625 N RIVERSIDE DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053680538 | Dr. David Mark Allen PC | Chiropractor | 625 N Riverside Dr, Clarksville, TN 37040-3127 | 2011-12-29 |
| 1871958884 | Advanced Diagnostic Imaging, PC | Orthopaedic Surgery | 625 N Riverside Dr, Clarksville, TN 37040-3127 | 2015-12-17 |
| 1336490366 | Tyler Jeffory Jennings | Chiropractor | 625 N Riverside Dr, Clarksville, TN 37040-3127 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629339510 | Tyler R Morris | Orthopaedic Surgery | 980 Professional Park Dr Ste A, Clarksville, TN 37040-5251 | 2012-06-06 |
| 1932293743 | Robert Henry May | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2006-10-03 |
| 1407859598 | Keith David Starkweather | Orthopaedic Surgery | 980 Professional Park Dr., Suite A, Clarksville, TN 37040-5251 | 2005-05-23 |
| 1629549845 | Dickson Orthopaedic and Sports Medicine Pllc | Orthopaedic Surgery | 1100 Ted A Crozier Sr Blvd Ste A, Clarksville, TN 37043-8912 | 2018-12-16 |
| 1871958884 | Advanced Diagnostic Imaging, PC | Orthopaedic Surgery | 625 N Riverside Dr, Clarksville, TN 37040-3127 | 2015-12-17 |
| 1639557226 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2015-05-14 |
| 1689089062 | Jason Harms | Orthopaedic Surgery | 141 Hillcrest Dr, Clarksville, TN 37043-5088 | 2014-06-24 |
| 1366706129 | Michael Cain | Orthopaedic Surgery | 141 Hillcrest Dr, Clarksville, TN 37043 | 2012-06-26 |
| 1801124177 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2009-11-25 |
| 1366617466 | Clarksville Orthopedics, Plc | Orthopaedic Surgery | 311 Landrum Place, Suite 100, Clarksville, TN 37043 | 2008-04-29 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on RIVERSIDE SPINE & PHYSICAL MEDICINE, PC.
| 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.