RIVERSIDE SPINE & PAIN PHYSICIANS, LLC (NPI# 1982070157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982070157 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE SPINE & PAIN PHYSICIANS, LLC |
| Practice Address |
3622 Madaca Ln Tampa FL 33618-2057 |
| Mailing Address |
7207 Golden Wings Rd Suite 100 Jacksonville FL 32244-3324 |
| Practice Telephone | 9043891010 |
| Practice Fax Number | 9043891082 |
| Mailing Telephone | 9043891010 |
| Mailing Fax Number | 9043891082 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | STEPHEN SCOTT KRAMARICH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9043891010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
| 1477922920 | Riverside Spine & Pain Physicians, LLC | Specialist | 2453 Us Highway 17, Suite G, Richmond Hill, GA 31324-5959 | 2015-09-15 |
| 1124494398 | Riverside Spine & Pain Physicians, LLC | Specialist | 7751 Baymeadows Rd E, Suite 103, Jacksonville, FL 32256-5836 | 2015-08-11 |
| 1669848834 | Riverside Spine & Pain Physicians, LLC | Specialist | 2386 Dunn Ave, Suite 111, Jacksonville, FL 32218-4750 | 2015-08-11 |
| 1659747822 | Riverside Spine & Pain Physicians, LLC | Specialist | 1577 Roberts Dr, Suite 326, Jacksonville Beach, FL 32250-3264 | 2015-08-11 |
| 1649646811 | Riverside Spine & Pain Physicians, LLC | Specialist | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-6355 | 2015-08-11 |
| 1619343886 | Riverside Spine & Pain Physicians, LLC | Specialist | 12078 San Jose Blvd, Suite 2, Jacksonville, FL 32223-8670 | 2015-08-11 |
| 1710353982 | Riverside Spine & Pain Physicians, LLC | Specialist | 105 Mariner Health Way, Unit 203, St Augustine, FL 32086-3251 | 2015-08-11 |
| 1639208648 | Riverside Spine & Pain Physicians, LLC | Specialist | 7207 Golden Wings Road, Suite 100, Jacksonville, FL 32244-2004 | 2007-03-05 |
| Street Address |
3622 MADACA LN |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316912082 | Maria Gavancho Sotomayor | Dermatology | 3622 Madaca Ln, Tampa, FL 33618-2057 | 2006-02-17 |
| 1043667520 | Heidi Mattison | Nurse Practitioner | 3622 Madaca Ln, Tampa, FL 33618-2057 | 2016-05-16 |
| 1578696159 | Seth B Forman Md Pl | Dermatology | 3622 Madaca Ln, Tampa, FL 33618-2057 | 2007-03-13 |
| 1215961065 | Nioma M Brown | Nurse Practitioner | 3622 Madaca Ln, Tampa, FL 33618-2057 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861852709 | Suchithra Hirode Ph D LLC | Specialist | 9643 Gretna Green Drive, Tampa, FL 33626 | 2016-03-04 |
| 1134588247 | Andrew Morath | Specialist | 2402 S 68th St, Tampa, FL 33619-5822 | 2016-02-17 |
| 1023412319 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 2700 W Martin Luther King Jr Blvd, Suite 250, Tampa, FL 33607-6383 | 2014-10-15 |
| 1700206000 | Diane Murray | Specialist | 13803 N Florida Ave, Tampa, FL 33613-3230 | 2014-04-24 |
| 1043652357 | Christina Maria Potter | Specialist | 97 Davis Blvd, Unit B, Tampa, FL 33606-4404 | 2013-07-28 |
| 1063851384 | Julia Ruth Undella | Specialist | 7402 Park Dr, Tampa, FL 33610-1060 | 2013-06-19 |
| 1043658545 | Roshni Patel | Specialist | 13441 Canopy Creek Dr, Tampa, FL 33625-5915 | 2013-06-06 |
| 1417293457 | Chambers Medical Group | Specialist | 1802 E Busch Blvd, Tampa, FL 33612-8664 | 2012-12-19 |
| 1205188430 | Shea Speights | Specialist | 103 W Hamilton Ave, Tampa, FL 33604-5420 | 2012-10-11 |
| 1700158847 | Tracy Lashun Williams | Specialist | 18110 Palm Beach Drive, Tampa, FL 33647 | 2012-02-06 |
| Find all providers in TAMPA | ||||
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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.