RIVERSIDE PARK SURGICENTER INC (NPI# 1881697522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881697522 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PARK SURGICENTER INC |
| Practice Address |
2001 College St Jacksonville FL 32204-3703 |
| Practice Telephone | 9043559800 |
| Practice Fax Number | 9043568680 |
| Mailing Telephone | 9043559800 |
| Mailing Fax Number | 9043568680 |
| Enumeration Date | 2005-05-25 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | MS. JEANNIE BEEDE (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 9043559800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
80003681 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 62J | 01 |
| FL | RR MEDICARE | 490001993 | 01 |
| FL | AVMED | 101679 | 01 |
| FL | MEDICARE DMERC | 10C0001167 | 01 |
| FL | CIGNA | 17626 | 01 |
| FL | 079102400 | 05 | |
| FL | UNITED | 6800031 | 01 |
| Street Address |
2001 COLLEGE ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667695 | Robert I Schnipper | Ophthalmology | 2001 College St, Jacksonville, FL 32204-3703 | 2005-05-23 |
| 1700952280 | Robert I Schnipper M.d. | Clinic/Center | 2001 College St, Jacksonville, FL 32204-3703 | 2006-11-28 |
| 1396760104 | Robert I Schnipper Md Pa | Ophthalmology | 2001 College St, Jacksonville, FL 32204 | 2006-07-13 |
| 1881666006 | James A Tammaro | Ophthalmology | 2001 College St, Jacksonville, FL 32204-3703 | 2006-02-02 |
| 1952304032 | Larry Garland Brown | Optometrist | 2001 College St, Jacksonville, FL 32204-3703 | 2005-05-23 |
| 1811990963 | First Coast Eyewear Inc | Eyewear Supplier (Equipment, not the service) | 2001 College St, Jacksonville, FL 32204-3703 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1104485440 | Surgcenter of Greater Jacksonville, LLC | Clinic/Center | 9143 Philips Hwy Ste 500, Jacksonville, FL 32256-1335 | 2019-06-11 |
| 1366982845 | Jacksonville Endoscopy Centers LLC | Clinic/Center | 1610 Barrs St Ste B, Jacksonville, FL 32204-4569 | 2017-03-02 |
| 1952771602 | Andrews Surgery Center At Jacksonville Medplex LLC | Clinic/Center | 9726 Touchton Road, Jacksonville, FL 32246-8227 | 2015-10-06 |
| 1770620742 | Samuel Wells Surgicenter Inc | Clinic/Center | 3599 University Blvd S Ste 604, Jacksonville, FL 32216-4234 | 2007-01-31 |
| 1093772667 | Medical Partners Surgery Center LLC | Clinic/Center | 4545 Emerson Expressway, Jacksonville, FL 32207-4918 | 2006-04-27 |
| 1215990627 | Westside Surgery Center Ltd | Clinic/Center | 2731 Park St, Jacksonville, FL 32205-7607 | 2006-04-07 |
| 1134182546 | Jacksonville Surgery Center, Ltd | Clinic/Center | 7021 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2006-04-07 |
| 1588633481 | Bgc Holdings Inc | Clinic/Center | 1610 Barrs St, Jacksonville, FL 32204-4569 | 2006-03-15 |
| 1922085059 | Asc North LLP | Clinic/Center | 590 Dundas Dr, Jacksonville, FL 32218-5579 | 2005-12-29 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on RIVERSIDE PARK SURGICENTER INC.
| 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.